Brooke Kirisits, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

028221 Issued in NY

Practice address

1404 Sweet Home Rd Ste 11
Buffalo, NY 14228-2778

Phone

(716) 235-3013

NPI assigned

Sep 28, 2023

Last updated

Dec 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Buffalo Occupational Therapy PLLC

  • Rehabilitation Clinic/Center
  • Amherst, NY
  • NPI 1174130587
  Medicare reassignment NPD
• Aging With Purpose LLC

  • Occupational Therapist
  • Amherst, NY
  • NPI 1669956660
  NPD

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1184403198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 SWEET HOME RD STE 11",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282778",
            "telephone_number": "716-235-3013",
            "fax_number": "716-235-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 SWEET HOME RD STE 11",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142282778",
            "telephone_number": "716-235-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRISITS",
        "first_name": "BROOKE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "028221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah R Kingston
• Meghan Kinnaird, PMHNP-BC
• Benjamin Kinney
• Kayla Lynn Kio, RDN
• Emily Kirchner
• Mary Ann Kirisits, OT
• Alexis Michele Kirk
• Christen Mary Kirk, RPH
• Sharon Kirkland-Gordon, PH.D.
• Jade Kirkland, RRT

• Occupational Therapist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.