Individual provider Active NPI

Karlie Samantha Brogan, OTR/L

  • Hand Occupational Therapist
  • New York, NY
National Provider Identifier
1629807615
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
029114-01 Issued in NY
Practice address
89 5TH Ave Ste 803
New York, NY 10003-3020
Phone
(212) 989-4263
NPI assigned
Jul 29, 2024
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 029114-01 NY Primary

Addresses

Primary practice location

89 5TH Ave Ste 803
New York, NY 10003-3020

Mailing address

89 5TH Ave Ste 803
New York, NY 10003-3020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240905000431 NY Practitioner - Occupational Therapist in Private Practice 6002356003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hand Physical Therapy Nyc OT PTGroup PAC ID 4183015860, 6 clinicians

Practice addresses (Care Compare)

89 5TH Ave
Suite 803
New York, NY 10003-3020
Phone (212) 989-4263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
029114NYMDGeriatric Physical Therapist
029114-01NYMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Physical Therapy Nyc OT PT Hand CurrentSince Aug 27, 2024 Accepting new patients

Locations

89 5th Ave
Ste 1002
New York, NY 10003
Phone (212) 255-6355

89 5th Ave
Ste 803
New York, NY 10003
Phone (212) 989-4263

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": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1629807615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 5TH AVE STE 803",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 5TH AVE STE 803",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033020",
            "telephone_number": "212-989-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGAN",
        "first_name": "KARLIE",
        "middle_name": "SAMANTHA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NY",
            "license": "029114-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.