Individual provider Active NPI

Brooke Kotick, SLP

  • Speech-Language Pathologist
  • Rockville, MD
National Provider Identifier
1225473176
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
06132 Issued in MD
Practice address
4990 Boiling Brook Pkwy
Rockville, MD 20852-2300
Phone
(301) 770-2710
Fax
(301) 668-7008
NPI assigned
May 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 06132 MD Primary

Addresses

Primary practice location

4990 Boiling Brook Pkwy
Rockville, MD 20852-2300

Mailing address

4990 Boiling Brook Pkwy
Rockville, MD 20852-2300
Phone (301) 770-2710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
06132MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Motion Education Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brooke.kotick.p1@direct.mcg-hhs.nextgenshare.com

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": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1225473176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 BOILING BROOK PKWY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522300",
            "telephone_number": "301-770-2710",
            "fax_number": "301-668-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 BOILING BROOK PKWY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522300",
            "telephone_number": "301-770-2710",
            "fax_number": "301-668-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTICK",
        "first_name": "BROOKE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "06132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.