Brooke Tooley Braddock, OT, MOT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

9101 Burnet Rd Ste 103
Austin, TX 78758-5260

Phone

(512) 248-2422

Fax

(512) 248-2354

NPI assigned

Apr 18, 2012

Last updated

Jan 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Little Tesoros Therapy Services, L.L.P.

  • Physical Therapist
  • Austin, TX
  • NPI 1639186828

  Occupational Therapist

  NPD (past)
• The T E a M Approach Inc

  • Physical Therapy Clinic/Center
  • Houston, TX
  • NPI 1215034822
  NPD (past)

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1568729341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 BURNET RD STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585260",
            "telephone_number": "512-248-2422",
            "fax_number": "512-248-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 BURNET RD STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585260",
            "telephone_number": "512-248-2422",
            "fax_number": "512-248-2354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Medical Pkwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786132529",
            "country_code": "US",
            "telephone_number": "512-248-2422",
            "fax_number": "512-248-2354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13150 Fm 529 Rd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770412303",
            "country_code": "US",
            "telephone_number": "713-896-1815",
            "fax_number": "713-896-1853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADDOCK",
        "first_name": "BROOKE",
        "middle_name": "TOOLEY",
        "credential": "OT, MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "114627",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342765001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cindy Kidd Brackmeyer, M.ED., LPC, RPT
• Brad E Logan (In-Home Therapy of Austin Texas)
• Leah Manley Bradberry, CCC-SLP
• Kirsten Elizabeth Bradbury, PH.D.
• Sheila Dawn Bradbury, NNP
• Braden Partners LP (Pacific Pulmonary Services)
• Valerie Braden, LCSW
• Trey Garrett Brader, M.D.
• Jessica Bradfield, M.ED., LPC
• Anna Kate Bradford, M.S. SLP-CF

• Pediatric Occupational Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.