Brooke Thatcher, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

006953 Issued in OH

Practice address

11177 Lambs LN
Newark, OH 43055-9779

Phone

(740) 763-0408

Fax

(740) 763-0475

NPI assigned

Sep 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Licking Rehabilitation Services, Inc

  • Occupational Therapist
  • Heath, OH
  • NPI 1396104626
  NPD (past)
• Rehabilitative Associates Inc

  • Occupational Therapist
  • Pickerington, OH
  • NPI 1770672099
  NPD (past)

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1316618374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11177 LAMBS LN",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430559779",
            "telephone_number": "740-763-0408",
            "fax_number": "740-763-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11177 LAMBS LN",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430559779",
            "telephone_number": "740-763-0408",
            "fax_number": "740-763-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THATCHER",
        "first_name": "BROOKE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "006953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Tennant, L.M.T.
• Andrew Terlecky, D.O.
• Rachel Marie Terlecky, D.O.
• Hintsa Tewoldemedin, MD
• Annmarie Thacker, RDN, LD, CDCES
• The Dentist-Jeffrey C Kirian DDS LLC
• The Fuse Network
• The Kroger Co
• The Main Place, Inc.
• The Tamarkin Company

• Occupational Therapy Assistant in Newark, OH
• Providers in Newark, 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 21, 2021; 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.