Active NPI
Brooke Gilbertson, OTR/L, MOT
- Occupational Therapist
- Bolingbrook, IL
National Provider Identifier
1760148605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.014479
- Practice address
- 396 Remington Blvd Ste 100
Bolingbrook, IL 60440-4311 - Phone
- (630) 312-5901
- NPI assigned
- Nov 15, 2021
- Last updated
- Nov 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.014479 | IL | Primary |
Addresses
Primary practice location
396 Remington Blvd Ste 100
Bolingbrook, IL 60440-4311
Mailing address
1670 Brookdale Rd Apt 22
Naperville, IL 60563-0409
Phone (608) 341-8264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.014479 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1760148605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 BROOKDALE RD APT 22",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605630409",
"telephone_number": "608-341-8264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "396 REMINGTON BLVD STE 100",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404311",
"telephone_number": "630-312-5901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERTSON",
"first_name": "BROOKE",
"credential": "OTR/L, MOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-15",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.014479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bolingbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.