Active NPI
Hannah Renee' Brock
- Occupational Therapist
- Richmond, KY
National Provider Identifier
1306375993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 161577
- Practice address
- 2150 Lexington Rd
Richmond, KY 40475-7924 - Phone
- (859) 333-8147
- NPI assigned
- Jun 7, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 161577 | KY | Primary |
Addresses
Primary practice location
2150 Lexington Rd
Richmond, KY 40475-7924
Mailing address
105 Masters CT
Richmond, KY 40475-8129
Phone (606) 307-4790
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 |
|---|---|---|---|
| 161577 | KY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496793600000",
"number": "1306375993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MASTERS CT",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404758129",
"telephone_number": "606-307-4790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 LEXINGTON RD",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404757924",
"telephone_number": "859-333-8147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCK",
"first_name": "HANNAH",
"middle_name": "RENEE'",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-07",
"last_updated": "2017-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "161577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.