Active NPI
Eleanor Duncan Brooks, OTR/L, OTD
- Occupational Therapist
- Louisville, KY
National Provider Identifier
1356720361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- BOTOCT00216449
- Practice address
- 10330 Bunsen Way
Louisville, KY 40299-2508 - Phone
- (502) 495-1662
- Fax
- (502) 495-1665
- NPI assigned
- May 22, 2015
- Last updated
- Jul 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | BOTOCT00216449 | KY | Primary |
Addresses
Primary practice location
10330 Bunsen Way
Louisville, KY 40299-2508
Mailing address
10330 Bunsen Way
Louisville, KY 40299-2508
Phone (502) 495-1662
Other practice location 1
1412 Willow Ave Apt 82
Louisville, KY 40204-1483
Phone (502) 724-9800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100355720 | Medicaid | KY | |
| 1356720361 | Other | KY | NATIONAL PROVIDER IDENTIFIER (NPI) |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaleidoscope Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1432252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1356720361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10330 BUNSEN WAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402992508",
"telephone_number": "502-495-1662",
"fax_number": "502-495-1665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10330 BUNSEN WAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402992508",
"telephone_number": "502-495-1662",
"fax_number": "502-495-1665"
}
],
"practiceLocations": [
{
"address_1": "1412 Willow Ave Apt 82",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402041483",
"country_code": "US",
"telephone_number": "502-724-9800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROOKS",
"first_name": "ELEANOR",
"middle_name": "DUNCAN",
"name_prefix": "Dr.",
"credential": "OTR/L, OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "BOTOCT00216449",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100355720",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL PROVIDER IDENTIFIER (NPI)",
"identifier": "1356720361",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.