Individual provider Active NPI

Kathleen Julia Brogan, OTR/L

  • Occupational Therapist
  • Henrico, VA
National Provider Identifier
1316298490
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119002908 Issued in VA
Practice address
3705 Riverchase PL
Henrico, VA 23233-1818
Phone
(804) 747-3929
NPI assigned
Sep 28, 2012
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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 0119002908 VA Primary

Addresses

Primary practice location

3705 Riverchase PL
Henrico, VA 23233-1818

Mailing address

3705 Riverchase PL
Henrico, VA 23233-1818
Phone (804) 747-3929

Other names 1

  • Kathleen Battaglia Brogan Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210623002106 VA Practitioner - Occupational Therapist in Private Practice 1254732696 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Therapeutics LTDGroup PAC ID 8921230137, 324 clinicians

Practice addresses (Care Compare)

1000 Avery Point Way
Richmond, VA 23233-7793
Phone (804) 563-2174

10286 Brook Rd
Glen Allen, VA 23059-6509
Phone (804) 250-6394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
At Home by Enhance Therapies LLC Occupational Therapist CurrentSince Feb 1, 2022 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Dec 3, 2023 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Dec 3, 2023 Accepting new patients
Af Therapy Clinic, LLC Past Accepting new patients

Locations

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

10286 Brook Rd
Glen Allen, VA 23059
Phone (571) 200-6617

11815 Fountain Way
Ste 300
Newport News, VA 23606
Phone (757) 505-7574

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1316298490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 RIVERCHASE PL",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331818",
            "telephone_number": "804-747-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 RIVERCHASE PL",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331818",
            "telephone_number": "804-747-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGAN",
        "first_name": "KATHLEEN",
        "middle_name": "JULIA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119002908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "BATTAGLIA BROGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.