Individual provider Active NPI

Heather Yalden Brohm, OTR/L

  • Occupational Therapist
  • Downingtown, PA
National Provider Identifier
1578857223
Registry record updated May 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC011081 Issued in PA
Practice address
1666 Hemlock Cir
Downingtown, PA 19335-3543
Phone
(732) 267-7842
NPI assigned
May 29, 2011
Last updated
May 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC011081 PA Primary
Occupational Therapist 225X00000X 46TR00501000 NJ

Addresses

Primary practice location

1666 Hemlock Cir
Downingtown, PA 19335-3543

Mailing address

1666 Hemlock Cir
Downingtown, PA 19335-3543
Phone (732) 267-7842

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00501000NJMDOccupational Therapist
OC011081PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Denise Marino Past Accepting new patients

Organizations & group practices 1

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": "1306627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306627200000",
    "number": "1578857223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 HEMLOCK CIR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193353543",
            "telephone_number": "732-267-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 HEMLOCK CIR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193353543",
            "telephone_number": "732-267-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROHM",
        "first_name": "HEATHER",
        "middle_name": "YALDEN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-29",
        "last_updated": "2011-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC011081",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00501000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downingtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2011; 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.