Active NPI
Brooke Ann Fox, CTRS
- Recreation Therapist
- Alto, MI
National Provider Identifier
1871274399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 83673
- Practice address
- 11707 E Bear MDWS SE
Alto, MI 49302-9085 - Phone
- (517) 899-4553
- NPI assigned
- Jul 27, 2023
- Last updated
- Jul 27, 2023
- 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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 83673 | MI | Primary |
Addresses
Primary practice location
11707 E Bear MDWS SE
Alto, MI 49302-9085
Mailing address
11707 E Bear MDWS SE
Alto, MI 49302-9085
Phone (517) 899-4553
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 |
|---|---|---|---|
| 83673 | MI | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1871274399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11707 E BEAR MDWS SE",
"city": "ALTO",
"state": "MI",
"postal_code": "493029085",
"telephone_number": "517-899-4553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11707 E BEAR MDWS SE",
"city": "ALTO",
"state": "MI",
"postal_code": "493029085",
"telephone_number": "517-899-4553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "BROOKE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "CTRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-27",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "MI",
"license": "83673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alto, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.