Mary Brooks, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT004696 Issued in OH

Practice address

2783 Arrowhead TRL
Oxford, OH 45056-9604

Phone

(513) 344-1100

NPI assigned

Jul 11, 2016

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

• Mary Stocker Former name

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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1144672452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2783 ARROWHEAD TRL",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450569604",
            "telephone_number": "513-344-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2783 ARROWHEAD TRL",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450569604",
            "telephone_number": "513-344-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT004696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "STOCKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Elizabeth Blasi, P.T
• Jared Bonecutter, PT, DPT
• Donna L Bostick, CNM
• Mindy Brewer, NP
• Bridgepointe Psychological & Counseling Services
• Madison Brown
• Chelsea M. Brucker, CNP
• Courtney Bryant, RN
• Rick James Bucher, M.D.
• David Budzianowski, DO

• Athletic Trainer in Oxford, OH
• Providers in Oxford, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.