Brooke Leigh Hoertz, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

12253 Issued in CA

Practice address

17861 Von Karman Ave
Irvine, CA 92614-6213

Phone

(949) 222-2214

NPI assigned

Aug 24, 2011

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

Other names 1

• Brooke Leigh Beverage Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Kida Academy LLC

  • Developmentally Disabled Services Day Training Agency
  • Irvine, CA
  • NPI 1245487123
  NPD (past) Authorized official

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1093095861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17861 VON KARMAN AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146213",
            "telephone_number": "949-222-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17861 VON KARMAN AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146213",
            "telephone_number": "949-222-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOERTZ",
        "first_name": "BROOKE",
        "middle_name": "LEIGH",
        "name_prefix": "Miss",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "12253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "BEVERAGE",
            "middle_name": "LEIGH",
            "credential": "OTD, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew William Hodge, PT, DPT
• Jessica M Hodge, AGACNP-BC
• John C Hoefs, MD
• Carl Jason Hoeger, DPM
• Lisa Hoelzel
• Hoffmann Audiology Corporation
• Chris Lin Hoffmann, M.S., M.A., AUD.
• Rachel Hofman, BCBA
• Darin Carter Hogen
• Hojjat MD Inc

• Occupational Therapist in Irvine, CA
• Providers in Irvine, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.