Rachel Larissa Bromberg, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT60886774 Issued in WA

Practice address

12410 E Sinto Ave Ste 101
Spokane Valley, WA 99216-2258

Phone

(509) 789-2956

Fax

(509) 789-2976

NPI assigned

Dec 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Inspire Physical & Hand Therapy Spokane Inc. P.S.

  • Occupational Therapist
  • Spokane, WA
  • NPI 1770794471
  NPD
• Inspire Physical & Hand Therapy Spokane Inc. P.S.

  • Durable Medical Equipment & Medical Supplies
  • Spokane, WA
  • NPI 1447417357

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1174095756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12410 E SINTO AVE STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162258",
            "telephone_number": "509-789-2956",
            "fax_number": "509-789-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12410 E SINTO AVE STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162258",
            "telephone_number": "509-789-2956",
            "fax_number": "509-789-2976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 W Fairview St",
            "address_purpose": "LOCATION",
            "city": "Colfax",
            "state": "WA",
            "postal_code": "991119580",
            "country_code": "US",
            "telephone_number": "509-397-4603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROMBERG",
        "first_name": "RACHEL",
        "middle_name": "LARISSA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "406348",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60886774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Britton, PT
• James Scott Britton, CDP
• Sarah Elizabeth Brockman, DPT
• Shannon M Brodersen, M.D.
• Cynthia Brody, LMP
• Lindsay Brookhart, ARNP
• Fredrick Todd Brooking, M.D.
• David V Brough, L.M.H.C.
• Travis Derrill Broughton, D.C.
• Shawn JV Brow, CRNA

• Occupational Therapist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.