Brooke Condra, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

32001598A Issued in IN

Practice address

24 Teke Burton Dr
Mitchell, IN 47446-7360

Phone

(812) 849-2221

NPI assigned

Apr 10, 2008

Last updated

Apr 11, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1063685915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 N STATE ROAD 37",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "474549704",
            "telephone_number": "812-849-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 TEKE BURTON DR",
            "city": "MITCHELL",
            "state": "IN",
            "postal_code": "474467360",
            "telephone_number": "812-849-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDRA",
        "first_name": "BROOKE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32001598A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Castle
• Julie Burton Chapman, DDS
• April Cockerham
• Shelby Cole
• Natalie Dawn Coleman, AGACNP
• Crystal Cook
• Mary Cook
• Joyce Maria Cooper, RPH
• Minghui Deng
• Brittany Devault

• Occupational Therapy Assistant in Mitchell, IN
• Providers in Mitchell, IN by specialty
• Occupational Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.