Active NPI
Timothy Marlow Brooks, OT
- Occupational Therapist
- Lebanon, TN
National Provider Identifier
1154857654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2187
- Practice address
- 101 Physicians Way
Suite 115
Lebanon, TN 37090-4135 - Phone
- (615) 466-5200
- NPI assigned
- May 4, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2187 | TN | Primary |
Addresses
Primary practice location
101 Physicians Way
Suite 115
Lebanon, TN 37090-4135
Mailing address
101 Physicians Way
Suite 115
Lebanon, TN 37090-4135
Phone (615) 466-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Physical Therapy LP | Past | Accepting new patients |
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.
-
- Physical Therapist
- Caruthersville, MO
- NPI 1073375861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493856000000",
"number": "1154857654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PHYSICIANS WAY",
"address_2": "SUITE 115",
"city": "LEBANON",
"state": "TN",
"postal_code": "370904135",
"telephone_number": "615-466-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PHYSICIANS WAY",
"address_2": "SUITE 115",
"city": "LEBANON",
"state": "TN",
"postal_code": "370904135",
"telephone_number": "615-466-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "TIMOTHY",
"middle_name": "MARLOW",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-04",
"last_updated": "2017-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "2187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.