Individual provider Active NPI

Abigail Brinkman, OTR/L

  • Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1093341182
Registry record updated Jan 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-008561 Issued in AZ
Practice address
4455 E Camelback Rd Ste D155
Phoenix, AZ 85018-2888
Phone
(480) 626-2444
Fax
(833) 473-4947
NPI assigned
Mar 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT60947475 WA
Occupational Therapist 225X00000X OT.0006269 CO
Occupational Therapist 225X00000X OT23397 CA
Occupational Therapist 225X00000X 416425 OR
Occupational Therapist 225X00000X OTH-008561 AZ Primary
Occupational Therapist 225X00000X OT010509 OH
Occupational Therapist 225X00000X OTH4553 ME
Occupational Therapist 225X00000X EL12324 NH

Addresses

Primary practice location

4455 E Camelback Rd Ste D155
Phoenix, AZ 85018-2888

Mailing address

PO Box 88747
Milwaukee, WI 53288-8747
Phone (480) 945-6777

Other practice location 1

4135 S Power Rd Ste 113
Mesa, AZ 85212-3625
Phone (480) 626-2444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211202002151 AZ Practitioner - Occupational Therapist in Private Practice 6406277706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Forte - Phoenix PLLCGroup PAC ID 7618240797, 11 clinicians

Practice addresses (Care Compare)

4135 S Power Rd
Suite 113
Mesa, AZ 85212-3625
Phone (480) 626-2444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT23397CAMDOccupational Therapist
OT.0006269COMDOccupational Therapist
OTH4553MEMDOccupational Therapist
EL12324NHMDOccupational Therapist
416425ORMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Camelback Sports Therapy LLC CurrentSince Apr 2, 2024 Accepting new patients
Openloop Healthcare Partners PC PastSince Dec 1, 2021 Accepting new patients

Locations

4455 E Camelback Rd
Ste D155
Phoenix, AZ 85018
Phone (480) 626-2444

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768003200000",
    "number": "1093341182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88747",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532888747",
            "telephone_number": "480-945-6777",
            "fax_number": "480-257-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 E CAMELBACK RD STE D155",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182888",
            "telephone_number": "480-626-2444",
            "fax_number": "833-473-4947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4135 S Power Rd Ste 113",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852123625",
            "country_code": "US",
            "telephone_number": "480-626-2444",
            "fax_number": "480-409-2987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINKMAN",
        "first_name": "ABIGAIL",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2026-01-10",
        "certification_date": "2026-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60947475",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0006269",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT23397",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "416425",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-008561",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT010509",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OTH4553",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "EL12324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.