Jessica Brooks

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP010284 Issued in PA

Practice address

1000 W South St
Carlisle, PA 17013-2722

Phone

(717) 245-2187

NPI assigned

Mar 9, 2022

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mission Autism Clinics LLC

  • Behavior Analyst
  • Frederick, MD
  • NPI 1124787866
  NPD

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1831846773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 PONTIUS LN",
            "city": "LOYSVILLE",
            "state": "PA",
            "postal_code": "170479424",
            "telephone_number": "570-220-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W SOUTH ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132722",
            "telephone_number": "717-245-2187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5310 Spectrum Dr",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217037362",
            "country_code": "US",
            "telephone_number": "888-726-4774",
            "fax_number": "570-362-5112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP010284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Lindsay Briggs, LPC
• Samantha Brinkman, BA
• Carey Lynn Britt, M.D.
• Robert Gerald Brockley
• Ashley Broody
• Anisa Brophy, NCMT
• Dow E Brophy, MD
• Hanna Brosius
• Brown Optical Company
• Alexander Brown

• Occupational Therapy Assistant in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.