Active NPI
Brooke M Tutwiler, LMT
- Occupational Therapist
- West Nyack, NY
National Provider Identifier
1649998949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 029097
- Practice address
- 2 Crosfield Ave
West Nyack, NY 10994-2226 - Phone
- (845) 425-1118
- Fax
- (845) 813-3693
- NPI assigned
- Aug 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 031831-01 | NY | |
| Occupational Therapist | 225X00000X | 029097 | NY | Primary |
Addresses
Primary practice location
2 Crosfield Ave
West Nyack, NY 10994-2226
Mailing address
286 S Main St
New City, NY 10956-3327
Phone (845) 764-4774
Other practice location 1
286 S Main St
New City, NY 10956-3327
Phone (845) 764-4774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031831-01 | NY | MD | Massage Therapist |
| 029097 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Single Specialty | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
2 Crosfield Ave
West Nyack, NY 10994
Phone (212) 725-8511
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1649998949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "286 S MAIN ST",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109563327",
"telephone_number": "845-764-4774",
"fax_number": "845-362-8474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CROSFIELD AVE",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109942226",
"telephone_number": "845-425-1118",
"fax_number": "845-813-3693"
}
],
"practiceLocations": [
{
"address_1": "286 S Main St",
"address_purpose": "LOCATION",
"city": "New City",
"state": "NY",
"postal_code": "109563327",
"country_code": "US",
"telephone_number": "845-764-4774",
"fax_number": "845-362-8474",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUTWILER",
"first_name": "BROOKE",
"middle_name": "M",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "031831-01",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NY",
"license": "029097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.