Brooke Juliette Ellis, OTD, OTR/L

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

5940 Issued in CT

Practice address

113 Elm St
Enfield, CT 06082-3700

Phone

(860) 253-5196

NPI assigned

Dec 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, CT2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

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.

• Russo Therapeutics, LLC

  • Occupational Therapist
  • South Windsor, CT
  • NPI 1174144919
  Medicare reassignment NPD
• DG Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Chelmsford, MA
  • NPI 1295279198
  Medicare reassignment NPD
• Performance Rehabilitation of Western New England LLC

  • Physical Therapist
  • West Springfield, MA
  • NPI 1710919063

  Occupational Therapist

  Medicare reassignment NPD
• DG Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • North Grafton, MA
  • NPI 1881270544
  NPD
• DG Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Springfield, MA
  • NPI 1912532946
  NPD
• Performance Rehabilitation of Western New England LLC

  • Durable Medical Equipment & Medical Supplies
  • Wilbraham, MA
  • NPI 1376140566

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1871253286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 OAKWOOD ST",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060822717",
            "telephone_number": "860-593-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 ELM ST",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823700",
            "telephone_number": "860-253-5196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Post Office Park Ste 7007",
            "address_purpose": "LOCATION",
            "city": "Wilbraham",
            "state": "MA",
            "postal_code": "010951291",
            "country_code": "US",
            "telephone_number": "413-279-1435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "BROOKE",
        "middle_name": "JULIETTE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MA",
            "license": "14292",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CT",
            "license": "5940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward H Benjamin MD PC
• Alexsis L Edwards
• Joshua Michael Edwards, PHD, LPC, LMHC, NCC
• Keri Lynn Egan
• Elizabeth Honey LMFT LLC
• Scott Elms, PT
• Eman Elsayed
• Emily Chiropractic Inc
• Emily Eye Care, LLC
• Molly M Emott, M.D.

• Hand Occupational Therapist in Enfield, CT
• Providers in Enfield, CT by specialty
• Hand Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.