Individual provider Active NPI

Adam Martin Brooks

  • Occupational Therapy Assistant
  • Warrensburg, MO
National Provider Identifier
1073226957
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2020030431 Issued in MO
Practice address
122 E Market St
Warrensburg, MO 64093-1888
Phone
(660) 747-8101
NPI assigned
Jan 5, 2023
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2020030431 MO Primary

Addresses

Primary practice location

122 E Market St
Warrensburg, MO 64093-1888

Mailing address

1410 S Stewart Ave
Sedalia, MO 65301

Other practice location 1

3660 Summit St
Kansas City, MO 64111-4632
Phone (816) 931-1196

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL laptop Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2020030431MOMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Yes Therapy LLC Occupational Therapy Assistant Current Accepting new patients

Locations

3660 Summit St
Kansas City, MO 64111
Phone (816) 531-1089

122 E Market St
Warrensburg, MO 64093
Phone (660) 429-2813

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1073226957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 S STEWART AVE",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "65301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E MARKET ST",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931888",
            "telephone_number": "660-747-8101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3660 Summit St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641114632",
            "country_code": "US",
            "telephone_number": "816-931-1196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ADAM",
        "middle_name": "MARTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2020030431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "endpointDescription": "laptop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "122 E Market St",
            "city": "Warrensburg",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640931888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warrensburg, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.