Tracy Calhoun Brooks, LOTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

Z11700 Issued in LA

Practice address

2409 Arkansas Rd
West Monroe, LA 71291-8611

Phone

(318) 396-2044

Fax

(318) 396-2204

NPI assigned

Aug 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Padgett Brooks Inc

  dba Lakewood PT & OT

  • Specialist
  • West Monroe, LA
  • NPI 1679536247
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154334902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 ARKANSAS RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712918611",
            "telephone_number": "318-396-2044",
            "fax_number": "318-396-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 ARKANSAS RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712918611",
            "telephone_number": "318-396-2044",
            "fax_number": "318-396-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "TRACY",
        "middle_name": "CALHOUN",
        "name_prefix": "Mr.",
        "credential": "LOTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "Z11700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED WORK COMP PROVIDER #",
            "identifier": "ACS PROVIDER NUMBER",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Renee Brazzel, LPC, LMFT
• Brian Moore Family Nurse Practitioner, LLC
• Millicent Bridges-Johnson
• Quintina Broadnax
• Melissa Sue Brock, FNP-C
• Brookshire Grocery Company (Brookshires Pharmacy)
• Brookshire Grocery Company (Super 1 Pharmacy)
• Zoe Broussard
• Alexis Brown, LPC
• Katelynn Brown

• Occupational Therapist in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.