Brooke Dana Wimer, OTR/L

Primary specialty

Mental Health Occupational TherapistTaxonomy code 225XM0800X

License

0003531 Issued in CO

Practice address

1612 Weatherby LN
Pueblo, CO 81008-1900

Phone

(719) 225-8972

NPI assigned

Nov 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1226102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514505600000",
    "number": "1699929372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 WEATHERBY LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081900",
            "telephone_number": "505-220-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 WEATHERBY LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081900",
            "telephone_number": "719-225-8972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7818 Pan American Fwy E NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871094633",
            "country_code": "US",
            "telephone_number": "505-228-4650",
            "fax_number": "877-904-9976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIMER",
        "first_name": "BROOKE",
        "middle_name": "DANA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-08",
        "last_updated": "2017-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "006780",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "2467",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "CO",
            "license": "0003531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Kaye Wilson, COTA
• Leah Wilson, CMT
• Liz Wilson
• Patty Raelene Wilson, MASSAGE THERAPIST
• Sarah Wilson
• Sanda Win, O.D.
• Morgan Winegarner, CNM, ARNP, MSN
• Joan E Wise, MA, CAC III
• Melissa Wissel
• Mary Kay Witte

• Mental Health Occupational Therapist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Mental Health Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.