Annette Marie Broddie, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

974770 Issued in OR

Practice address

315 Oak St
Suite 200
Hood River, OR 97031-2062

Phone

(541) 386-0009

Fax

(541) 386-0029

NPI assigned

Feb 13, 2008

Last updated

Feb 13, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

• Kidsense Inc

  dba Kidsense

  • Occupational Therapist
  • Hood River, OR
  • NPI 1902087901
  NPD (past) Authorized official
• Kidsense Inc.

  dba Kidsense

  • Pediatric Physical Therapist
  • Hood River, OR
  • NPI 1992979272
  NPD (past) Authorized official

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1356519276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 OAK ST",
            "address_2": "SUITE 200",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970312062",
            "telephone_number": "541-386-0009",
            "fax_number": "541-386-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 OAK ST",
            "address_2": "SUITE 200",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970312062",
            "telephone_number": "541-386-0009",
            "fax_number": "541-386-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODDIE",
        "first_name": "ANNETTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OR",
            "license": "974770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Bowen, MA, LPC
• Dolly Ann Brandt, L.M.T
• James M Brauer, M.D.
• Julia Ruth Brennan, M.D.
• Virginia Brewster, MA
• Devery Gerard Broddie, LMT
• Laura Lee Brown
• Tom H Brubaker, LCSW
• Bruce Alan Burton DMD PC
• Bruce J. Ruttenburg, PH.D., LLC

• Pediatric Occupational Therapist in Hood River, OR
• Providers in Hood River, OR by specialty
• Pediatric Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.