Brooke Alison Peters, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

17-02070 Issued in KS

Practice address

4911 State Ave
Kansas City, KS 66102-1749

Phone

(913) 287-8851

Fax

(913) 287-5431

NPI assigned

Sep 27, 2007

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

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 and National Provider Directory roles.

• Wyandotte Comprehensive Special Education Coop Infant Toddler Division

  • Early Intervention Provider Agency
  • Kansas City, KS
  • NPI 1518220326
  NPD (past)

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1639366222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661021749",
            "telephone_number": "913-287-8851",
            "fax_number": "913-287-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661021749",
            "telephone_number": "913-287-8851",
            "fax_number": "913-287-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "BROOKE",
        "middle_name": "ALISON",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KS",
            "license": "17-02070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Perry, DO
• Diane L Persons, MD
• Hima Sanjana Perumalla
• Natalia Elizabeth Pesado, LCPC, LCMFT, RPT
• Gina Marie Petelin, M.D.
• Lindsey Peters, MSN, FNP-C, APRN
• Meghan Peters, PA-C
• Ryan P Peters, CRNA
• Sean Michael Peters
• Alicia Katherine Peterson, M.D.

• Pediatric Occupational Therapist in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Pediatric Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.