Active NPI
Brooke Ann Galindo, COTA/L
- Occupational Therapy Assistant
- Danville, VA
National Provider Identifier
1558895524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 0131001767
- Practice address
- 2526 N Main St
Danville, VA 24540 - Phone
- (434) 836-9510
- NPI assigned
- Apr 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | NC | ||
| Occupational Therapy Assistant | 224Z00000X | 0131001767 | VA | Primary |
Addresses
Primary practice location
2526 N Main St
Danville, VA 24540
Mailing address
349 Hermitage Dr Apt a
Danville, VA 24541-5856
Phone (434) 770-7154
Other practice location 1
11319 Franklin Tpke
Chatham, VA 24531-5193
Phone (434) 770-7154
Other names 1
- Miss Brooke Ann Haymore
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 |
|---|---|---|---|
| 0131001767 | VA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1558895524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 HERMITAGE DR APT A",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245415856",
"telephone_number": "434-770-7154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2526 N MAIN ST",
"city": "DANVILLE",
"state": "VA",
"postal_code": "24540",
"telephone_number": "434-836-9510"
}
],
"practiceLocations": [
{
"address_1": "11319 Franklin Tpke",
"address_purpose": "LOCATION",
"city": "Chatham",
"state": "VA",
"postal_code": "245315193",
"country_code": "US",
"telephone_number": "434-770-7154",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALINDO",
"first_name": "BROOKE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-17",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "VA",
"license": "0131001767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BROOKE",
"last_name": "HAYMORE",
"middle_name": "ANN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.