Individual provider Active NPI

Brooke Kunkler, OTR/L

  • Occupational Therapist
  • New Lexington, OH
National Provider Identifier
1215819057
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT013178 Issued in OH
Practice address
832 Johnson Ave
New Lexington, OH 43764-1125
Phone
(304) 641-7527
NPI assigned
Jul 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 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 OT013178 OH Primary

Addresses

Primary practice location

832 Johnson Ave
New Lexington, OH 43764-1125

Mailing address

832 Johnson Ave
New Lexington, OH 43764-1125
Phone (304) 641-7527

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250801001396 OH Practitioner - Occupational Therapist in Private Practice 9436667466 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT013178OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Oct 1, 2025 Accepting new patients
Affordable Home Health Care, LLC Occupational Therapist CurrentSince Jul 19, 2025 Accepting new patients
Affordable Home Health Care, LLC CurrentSince Jul 19, 2025 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Oct 1, 2025 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

800 Yard St
Ste 300
Grandview Heights, OH 43212
Phone (614) 866-8158

Organizations & group practices 4

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": "1753228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1215819057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 JOHNSON AVE",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437641125",
            "telephone_number": "304-641-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 JOHNSON AVE",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437641125",
            "telephone_number": "304-641-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNKLER",
        "first_name": "BROOKE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT013178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lexington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.