Brooke Nicole Hanvey, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.008903 Issued in IL

Practice address

23 Gerri Ann Dr
Belleville, IL 62220-3151

Phone

(618) 977-9148

NPI assigned

Mar 11, 2010

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

Other names 1

• Mrs. Brooke Nicole Burke Other name

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": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1376866806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631580101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 GERRI ANN DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622203151",
            "telephone_number": "618-977-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANVEY",
        "first_name": "BROOKE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.008903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "BURKE",
            "middle_name": "NICOLE",
            "prefix": "MRS.",
            "credential": "OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Occupational Therapist in Belleville, IL
• Providers in Belleville, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.