Brandon Kyle Brooks, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT006401 Issued in GA

Practice address

4640 Martin Rd
Cumming, GA 30041-5542

Phone

(678) 679-1261

Fax

(678) 250-9010

NPI assigned

Feb 24, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Essential Therapy Services

  • Occupational Therapist
  • Cumming, GA
  • NPI 1043529373
  NPD (past)
• Essential Therapy Services, Inc.

  • Occupational Therapist
  • Cumming, GA
  • NPI 1508077991
  NPD (past)

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1174983852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 MARTIN RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415542",
            "telephone_number": "678-679-1261",
            "fax_number": "678-250-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 MARTIN RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415542",
            "telephone_number": "678-679-1261",
            "fax_number": "678-250-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "BRANDON",
        "middle_name": "KYLE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brilliant Minds ABA LLC
• Hollie Rhodus Brineman, MS, OTR/L
• Britney Leblanc
• Charles L Britt Jr., MS, LPC, NCC, CPCS
• Christopher Jonathan Brogdon, LAPC
• Caroline Brooks, DNP, FNP, CPNP-BC
• Hannah McClellan Brooks, PMHNP
• Joseph Anthony Brooks, PT, DPT
• Brown Chiropractic and Wellness Center PC
• Brown Chiropractic Clinic PC

• Occupational Therapist in Cumming, GA
• Providers in Cumming, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.