Individual provider Active NPI

Brooke Ilise Brees, MS, OTR/L

  • Pediatric Occupational Therapist
  • Cary, NC
National Provider Identifier
1811247760
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
8422 Issued in NC
Practice address
200 Cornerstone Dr Ste 101
Cary, NC 27519-8430
Phone
(919) 338-1522
NPI assigned
Sep 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 8422 NC Primary

Addresses

Primary practice location

200 Cornerstone Dr Ste 101
Cary, NC 27519-8430

Mailing address

3905 University Drive
Durham, NC 27707
Phone (919) 928-0204

Other practice location 1

3905 University Dr.
Emerge A Childs Place
Durham, NC 27707
Phone (919) 928-0204

Other identifiers 1

IdentifierTypeStateIssuer
8422OtherMINORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY

Other names 1

  • Ms. Brooke Ilise Damron Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8422NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emerge-a Child'S Place, PLLC Pediatrics PastSince Feb 23, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1811247760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 UNIVERSITY DRIVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27707",
            "telephone_number": "919-928-0204",
            "fax_number": "919-928-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CORNERSTONE DR STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198430",
            "telephone_number": "919-338-1522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3905 University Dr.",
            "address_2": "Emerge A Childs Place",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "27707",
            "country_code": "US",
            "telephone_number": "919-928-0204",
            "fax_number": "919-928-9423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREES",
        "first_name": "BROOKE",
        "middle_name": "ILISE",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "8422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "8422",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "DAMRON",
            "middle_name": "ILISE",
            "prefix": "MS.",
            "credential": "MS, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.