Honey Brooks, OTR
Individual provider Active NPI Occupational Therapist · Hattiesburg, MS
NPI 1912245010 · NPPES record last updated Mar 4, 2024
Key facts
- NPI
- 1912245010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT3122 (MS)
- Practice address
- 4805 W 4TH St
Hattiesburg, MS 39402-1019 - Phone
- (601) 270-6968
- NPI assigned
- Jan 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Renewed Wellness Company PLLC
Practice addresses (Care Compare)
505 N Front St
Richton, MS 39476-2210
Phone (601) 323-6431
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170124001929 | MS | Practitioner - Occupational Therapist in Private Practice | 6204118425 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT3122 | MS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honey Brooks Occupational Therapy Services LLC | Occupational Therapist | Current |
Accepting new patients |
| Gulf Coast Education Solutions | Past | Accepting new patients | |
| Reconnect Wellness Bruce LLC | Past | Accepting new patients | |
| Aultman Speech Therapy Services, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT3122 | MS | Yes |
Addresses
Primary practice location
4805 W 4TH St
Hattiesburg, MS 39402-1019
Mailing address
126 Caney Church Rd
Lumberton, MS 39455-9330
Other providers in Hattiesburg, MS
- Briomd Physicians
- Miranda Brister
- Broader Spectrum Counseling PLLC
- Beyonce Brock
- Marty Jacob Brock
- Shalisha Brooks
- Tommy Brooks
- Charlene Bell Broome
- Stephanie Broome
- Gerald B Broussard Jr.
All providers in Hattiesburg, MS · Occupational Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.