Individual provider Active NPI

Amber Christine Brose, BS, MOT, SWC, OTR/L

  • Occupational Therapist
  • Grass Valley, CA
National Provider Identifier
1144070087
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
9224 Issued in CA
Practice address
415 Sierra College Dr
Grass Valley, CA 95945-5764
Phone
(530) 272-8002
NPI assigned
Mar 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 9224 CA Primary

Addresses

Primary practice location

415 Sierra College Dr
Grass Valley, CA 95945-5764

Mailing address

15332 Auburn Rd
Grass Valley, CA 95949-8701
Phone (510) 846-2428

Other names 1

  • Ms. Amber Christine Neumeier Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240730004237 CA Practitioner - Occupational Therapist in Private Practice 2062959760 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
9224CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Physical Therapy Services, PC Occupational Therapist CurrentSince May 17, 2024 Accepting new patients

Locations

415 Sierra College Dr
Grass Valley, CA 95945
Phone (530) 272-8002

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1144070087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15332 AUBURN RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959498701",
            "telephone_number": "510-846-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 SIERRA COLLEGE DR",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455764",
            "telephone_number": "530-272-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSE",
        "first_name": "AMBER",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "BS, MOT, SWC, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "9224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "NEUMEIER",
            "middle_name": "CHRISTINE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.