Active NPI
Kathryn Brockmeier
- Occupational Therapist
- Silver Spring, MD
National Provider Identifier
1841549201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 8401
- Practice address
- 12501 Prosperity Dr
Silver Spring, MD 20904-1689 - Phone
- (301) 777-2000
- NPI assigned
- Aug 31, 2012
- 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 | 8401 | NC | Primary |
Addresses
Primary practice location
12501 Prosperity Dr
Silver Spring, MD 20904-1689
Mailing address
12501 Prosperity Dr
Silver Spring, MD 20904-1689
Phone (301) 777-2000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8401 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Home Therapy LLC | Past | 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.
-
- Physical Therapy Clinic/Center
- Manassas, VA
- NPI 1942802772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1841549201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12501 PROSPERITY DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209041689",
"telephone_number": "301-777-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12501 PROSPERITY DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209041689",
"telephone_number": "301-777-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCKMEIER",
"first_name": "KATHRYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-31",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "8401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.