Shontia Willette Brooks

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

A02507 Issued in MD

Practice address

3118 Wolcott Ave
Baltimore, MD 21216-1223

Phone

(443) 540-4988

NPI assigned

Aug 16, 2018

Last updated

Aug 16, 2018By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1942780226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 WOLCOTT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212161223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 WOLCOTT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212161223",
            "telephone_number": "443-540-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "SHONTIA",
        "middle_name": "WILLETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "215113",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MD",
            "license": "A02507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Renee' Brooks, LGSW
• Monica Brooks, LCPC
• Monique Anetria Brooks, LCPC, NCC (202915)
• Olivia Brooks
• Saera Haque Brooks, P.T.
• Steven S. Brooks, M.D.
• Susan Brooks
• Talia Mamie Lee Brooks
• Tanika D Brooks
• Taya Brooks

• Occupational Therapy Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Occupational Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.