Active NPI
Brooke Ashley Hassler, MOT, OTR/L
- Pediatric Occupational Therapist
- Shorewood, IL
National Provider Identifier
1366955601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 056.012234
- Practice address
- 860 Center CT Unit C
Shorewood, IL 60404-8535 - Phone
- (815) 773-9000
- NPI assigned
- Nov 8, 2017
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 056.012234 | IL | Primary |
Addresses
Primary practice location
860 Center CT Unit C
Shorewood, IL 60404-8535
Mailing address
777 N 3029TH Rd Unit 2
Utica, IL 61373-2003
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.012234 | IL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillmann Pediatric Therapy | Pediatrics | Current | Accepting new patients |
Locations
860 Center Ct
Unit C
Shorewood, IL 60404
Phone (815) 224-3261
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1366955601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 N 3029TH RD UNIT 2",
"city": "UTICA",
"state": "IL",
"postal_code": "613732003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 CENTER CT UNIT C",
"city": "SHOREWOOD",
"state": "IL",
"postal_code": "604048535",
"telephone_number": "815-773-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSLER",
"first_name": "BROOKE",
"middle_name": "ASHLEY",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-08",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "IL",
"license": "056.012234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shorewood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.