Brooke Bergerhofer, MOT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

T-05618 Issued in KS

Practice address

6223 Slater St
Merriam, KS 66202-2848

Phone

(816) 835-4666

NPI assigned

Jul 25, 2021

Last updated

Jul 25, 2021By 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 1

Addresses

Other names 1

• Brooke Bennett Former name

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": "1627171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627171200000",
    "number": "1982377115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6223 SLATER ST",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662022848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6223 SLATER ST",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662022848",
            "telephone_number": "816-835-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERHOFER",
        "first_name": "BROOKE",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-25",
        "last_updated": "2021-07-25",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KS",
            "license": "T-05618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "BENNETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leann M Bell, PHARM.D.
• Blair Beltz
• Elizabeth Germinder Bennett, M.D.
• Lisa A Bennett, SLP
• Melissa Bennett, PTA
• Stephen Anthony Berni, PTA
• Anna Sushila Bhatnagar, APRN
• Megan Bierle, DDS
• Corina Bissonnette
• Curtis John Bittner, CRNA

• Pediatric Occupational Therapist in Merriam, KS
• Providers in Merriam, KS by specialty
• Pediatric Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; 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.