Active NPI
Maggie Brooks
- Occupational Therapist
- Malden, MO
National Provider Identifier
1831731975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2019029720
- Practice address
- 505 W Burkhart St
Malden, MO 63863-1445 - Phone
- (573) 276-5794
- NPI assigned
- Oct 10, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 2019029720 | MO | MD | Occupational Therapist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2019029720 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
505 W Burkhart St
Malden, MO 63863-1445
Mailing address
2620 N Westwood Blvd
Poplar Bluff, MO 63901-3396
Phone (573) 776-9925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 10, 2019.
{
"created_epoch": "1570665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570665600000",
"number": "1831731975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 N WESTWOOD BLVD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639013396",
"telephone_number": "573-776-9925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 W BURKHART ST",
"city": "MALDEN",
"state": "MO",
"postal_code": "638631445",
"telephone_number": "573-276-5794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "MAGGIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-10",
"last_updated": "2019-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2019029720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Malden, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.