Individual provider Active NPI

Ashley Brokenshaw

  • Occupational Therapist
  • Waterford, MI
National Provider Identifier
1376125666
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201014089 Issued in MI
Practice address
5798 Highland Rd
Waterford, MI 48327-1826
Phone
(248) 724-4400
Fax
(248) 724-4405
NPI assigned
Apr 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201014089 MI Primary

Addresses

Primary practice location

5798 Highland Rd
Waterford, MI 48327-1826

Mailing address

5446 Guyette St
Clarkston, MI 48346-3523
Phone (248) 210-5686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241231002602 MI Practitioner - Occupational Therapist in Private Practice 1850828922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1910 S Rochester Rd
Rochester Hills, MI 48307-3534
Phone (248) 218-5150

42869 Woodward Ave
Bloomfield Hills, MI 48304-5036
Phone (248) 724-4400

5798 Highland Rd
Waterford, MI 48327-1826
Phone (248) 724-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hand & Rehabilitation, LLC CurrentSince Dec 20, 2024 Accepting new patients
Comprehensive Hand & Rehabilitation, LLC Occupational Therapist CurrentSince Dec 20, 2024 Accepting new patients

Locations

5798 Highland Rd
Waterford, MI 48327
Phone (248) 724-4400

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.

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1376125666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5446 GUYETTE ST",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463523",
            "telephone_number": "248-210-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5798 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271826",
            "telephone_number": "248-724-4400",
            "fax_number": "248-724-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROKENSHAW",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201014089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.