Active NPI
Brooke B Conti, OTR/L
- Occupational Therapist
- Dennis Port, MA
National Provider Identifier
1942741400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11938
- Practice address
- 54 North St
Dennis Port, MA 02639-1417 - Phone
- (508) 685-2713
- NPI assigned
- Mar 17, 2017
- Last updated
- Mar 17, 2017
- 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 | 11938 | MA | Primary |
Addresses
Primary practice location
54 North St
Dennis Port, MA 02639-1417
Mailing address
PO Box 668
Dennis Port, MA 02639-0668
Phone (508) 685-2713
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 |
|---|---|---|---|
| 11938 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489708800000",
"number": "1942741400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 668",
"city": "DENNIS PORT",
"state": "MA",
"postal_code": "026390668",
"telephone_number": "508-685-2713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 NORTH ST",
"city": "DENNIS PORT",
"state": "MA",
"postal_code": "026391417",
"telephone_number": "508-685-2713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTI",
"first_name": "BROOKE",
"middle_name": "B",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-17",
"last_updated": "2017-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "11938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dennis Port, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.