Kellie Marie Brooks

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA 15488 Issued in FL

Practice address

6517 W Robin LN
Homosassa, FL 34448-7355

Phone

(352) 422-6615

NPI assigned

Dec 9, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1356619985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6517 W ROBIN LN",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344487355",
            "telephone_number": "352-422-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6517 W ROBIN LN",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344487355",
            "telephone_number": "352-422-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "KELLIE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI 1956",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA 15488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Bradley
• Colleen Branche
• Priscilla Brewington, SLP
• Brightwater Behavior Analysis
• Brightwater Behavior Analysis
• Brooksville Hma Physician Management LLC
• Andrea Desiree Brown
• Brittney Brown, COTA
• Julia Brown, PHARMD
• Deborah Browning

• Occupational Therapy Assistant in Homosassa, FL
• Providers in Homosassa, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.

Verify at the official NPI Registry.