Penny Sue Brooks, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0581 Issued in NH

Practice address

24 Old Etna Rd
Lebanon, NH 03766-1937

Phone

(603) 442-4207

NPI assigned

Aug 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1962634741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 MUD TURTLE POND RD",
            "city": "ORFORD",
            "state": "NH",
            "postal_code": "037774713",
            "telephone_number": "603-353-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 OLD ETNA RD",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661937",
            "telephone_number": "603-442-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "PENNY",
        "middle_name": "SUE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NH",
            "license": "0581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne Gilliam Brooks, M.D.
• Drew Brooks, MD
• Gabriel Arne Brooks, MD
• Jessica Lee Brooks, M.D.
• Lindsay Elizabeth Brooks, PHARMD, BS
• Tiffani D Brooks, RD, LD
• Chase Brower, DO
• Annika Meith Brown, M.D.
• Deborah A. Brown, APRN
• Jean-Anne Brown, APRN

• Occupational Therapy Assistant in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Occupational Therapy Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.