Individual provider Active NPI

Brooke Faith Toothaker, OTR

  • Occupational Therapist
  • Newton, MA
National Provider Identifier
1164309902
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT4869 Issued in ME
Practice address
74 Bridge St
Newton, MA 02458-1147
Phone
(617) 969-4410
NPI assigned
Aug 20, 2025
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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 OT4869 ME Primary

Addresses

Primary practice location

74 Bridge St
Newton, MA 02458-1147

Mailing address

1 Lunt Rd
Freeport, ME 04032-5837
Phone (207) 956-3025

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT4869MEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ota the Koomar Center, LLC CurrentSince Aug 25, 2025 Accepting new patients
Occupational Therapy Associates - Watertown, Inc. CurrentSince Aug 25, 2025 Accepting new patients

Locations

74 Bridge St
Newton, MA 02458
Phone (617) 969-4410

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1164309902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LUNT RD",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040325837",
            "telephone_number": "207-956-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 BRIDGE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581147",
            "telephone_number": "617-969-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOTHAKER",
        "first_name": "BROOKE",
        "middle_name": "FAITH",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT4869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.