Individual provider Active NPI

Brooke Timblin-Apgar, OTR/L

  • Occupational Therapist
  • Yulee, FL
National Provider Identifier
1205203338
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT23607 Issued in FL
Practice address
86223 Buggy CT
Yulee, FL 32097-0053
Phone
(407) 310-7846
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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 OT23607 FL Primary

Addresses

Primary practice location

86223 Buggy CT
Yulee, FL 32097-0053

Mailing address

86223 Buggy CT
Yulee, FL 32097-0053
Phone (407) 310-7846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240830003669 VA Practitioner - Occupational Therapist in Private Practice 2860931003 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT23607FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Lymphatics of VA, LLC Occupational Therapist CurrentSince May 1, 2024 Accepting new patients

Locations

812 W Stuart Dr
Galax, VA 24333
Phone (276) 238-3318

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.

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1205203338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86223 BUGGY CT",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320970053",
            "telephone_number": "407-310-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86223 BUGGY CT",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320970053",
            "telephone_number": "407-310-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMBLIN-APGAR",
        "first_name": "BROOKE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT23607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yulee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.