Jennifer Sue Brooks

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA006638 Issued in OH

Practice address

5151 County Road 15
Marengo, OH 43334-9619

Phone

(740) 501-3582

NPI assigned

Jan 5, 2009

Last updated

Sep 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1255577755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 COUNTY ROAD 15",
            "city": "MARENGO",
            "state": "OH",
            "postal_code": "433349619",
            "telephone_number": "740-501-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 COUNTY ROAD 15",
            "city": "MARENGO",
            "state": "OH",
            "postal_code": "433349619",
            "telephone_number": "740-501-3582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5781 State Route 656",
            "address_purpose": "LOCATION",
            "city": "Marengo",
            "state": "OH",
            "postal_code": "433349719",
            "country_code": "US",
            "telephone_number": "740-501-3582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JENNIFER",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN 128383",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA006638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William E Addington, DO
• John Alexander Brooks
• Tammy Brooks
• Caring Angel (michelle robinson)
• Hannah Casey
• Casaundra R Cimino

• Occupational Therapy Assistant in Marengo, OH
• Providers in Marengo, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.