Active NPI
Brooke Church, OT
- Occupational Therapist
- Conway, AR
National Provider Identifier
1225904360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT2025-036
- Practice address
- 1301 Museum Rd
Conway, AR 72032-4739 - Phone
- (501) 358-6535
- Fax
- (501) 358-6536
- NPI assigned
- Oct 15, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT2025-036 | AR | Primary |
Addresses
Primary practice location
1301 Museum Rd
Conway, AR 72032-4739
Mailing address
PO Box 10267
Conway, AR 72034-0003
Phone (501) 358-6535
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT2025-036 | AR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Medical Group | Multi-Specialty | Current | Accepting new patients |
| Reach Therapy Services LLC | Multi-Specialty | Current | Accepting new patients |
Locations
1301 Museum Rd
Conway, AR 72032
Phone (501) 358-6535
Organizations & group practices 2
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": "1760486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1225904360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10267",
"city": "CONWAY",
"state": "AR",
"postal_code": "720340003",
"telephone_number": "501-358-6535",
"fax_number": "501-358-6536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 MUSEUM RD",
"city": "CONWAY",
"state": "AR",
"postal_code": "720324739",
"telephone_number": "501-358-6535",
"fax_number": "501-358-6536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHURCH",
"first_name": "BROOKE",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-15",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OT2025-036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.