Active NPI
Brooke Danielle Shirer, OTR/L
- Occupational Therapist
- Schererville, IN
National Provider Identifier
1336311109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31004616A
- Practice address
- 5510 W Lincoln Highway
US Route 30
Schererville, IN 46375-0000 - Phone
- (219) 865-1436
- Fax
- (219) 865-1787
- NPI assigned
- Apr 1, 2008
- Last updated
- Sep 16, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 99031023A | IN | |
| Occupational Therapist | 225X00000X | 31004616A | IN | Primary |
Addresses
Primary practice location
5510 W Lincoln Highway
US Route 30
Schererville, IN 46375-0000
Mailing address
205 W Wacker Dr
Suite 1020
Chicago, IL 60606-1216
Phone (312) 640-0329
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31004616A | IN | MD | Occupational Therapist |
| 99031023A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kratz Group Inc | Occupational Therapist | Past | Accepting new patients |
| Accelerated Rehabilitation Centers LTD | Occupational Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Athletico Physical Therapy
- Occupational Therapist
- Schererville, IN
- NPI 1871995985
-
dba Northwest Indiana Hand and Physical Therapy
- Hand Occupational Therapist
- Merrillville, IN
- NPI 1285824185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1336311109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 W WACKER DR",
"address_2": "SUITE 1020",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606061216",
"telephone_number": "312-640-0329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 W LINCOLN HIGHWAY",
"address_2": "US ROUTE 30",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463750000",
"telephone_number": "219-865-1436",
"fax_number": "219-865-1787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRER",
"first_name": "BROOKE",
"middle_name": "DANIELLE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-01",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "99031023A",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31004616A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schererville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.