Brooke Nicole Elliott, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

021714 Issued in NY

Practice address

887 Kellum St
Lindenhurst, NY 11757-1508

Phone

(631) 884-3000

NPI assigned

Aug 20, 2017

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1503187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1639695703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 CLEMONS ST",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103236",
            "telephone_number": "516-729-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 KELLUM ST",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117571508",
            "telephone_number": "631-884-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "999 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Woodmere",
            "state": "NY",
            "postal_code": "115981205",
            "country_code": "US",
            "telephone_number": "516-374-7914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "BROOKE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-20",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "021714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.