Abby Brooks, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1651 Issued in WV

Practice address

3000 Mon Health Medical Park Dr Ste 3201
Morgantown, WV 26505-1170

Phone

(304) 285-1460

Fax

(304) 285-2739

NPI assigned

Apr 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Abby Peddicord Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Monongalia County General Hospital Company

  • General Acute Care Hospital
  • Morgantown, WV
  • NPI 1659489631
  NPD (past)

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1548824576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MON HEALTH MEDICAL PARK DR STE 3201",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051170",
            "telephone_number": "304-285-1460",
            "fax_number": "304-285-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MON HEALTH MEDICAL PARK DR STE 3201",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051170",
            "telephone_number": "304-285-1460",
            "fax_number": "304-285-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ABBY",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "1651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "PEDDICORD",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jane Lee Brock
• Cassie S Brode, PHD
• Mary Broman
• Diane Bronikowski, MD
• Whitney Brooks-Hagedorn
• Antonia Lynne Brooks, PT
• Arrin Carter Brooks, MD, PHD
• Claudette E Brooks, M.D.
• David Brooks, MD
• Simone Brooks

• Occupational Therapist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Occupational Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.