Kathryn Louise Brock

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

449 S Fitness PL
Eagle, ID 83616-6828

Phone

(208) 957-6301

Fax

(208) 228-0585

NPI assigned

May 21, 2026

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• OT 4 Kidz, Inc

  • Occupational Therapist
  • Eagle, ID
  • NPI 1225449085
  NPD (past)
• OT 4 Kidz, Inc

  • Developmental Disabilities Clinic/Center
  • Eagle, ID
  • NPI 1659029353
  NPD (past)

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1982534764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 N LOCUST GROVE RD UNIT 14B",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 S FITNESS PL",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166828",
            "telephone_number": "208-957-6301",
            "fax_number": "208-228-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "KATHRYN",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@childrenstlc.com",
            "affiliation": "Y",
            "affiliationName": "OT 4 Kidz, Inc",
            "address_1": "449 S Fitness Pl",
            "city": "Eagle",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836166828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bridgeway Health Services, LLC
• Bridgeway Health Services, LLC
• Katelyn Brigham
• Brightview Senior Health
• Justin P Brink, D.C
• Aaron W Bronner, OD
• Rebecca Bronner, PT
• Brook Medical PLLC
• Brookings of Cascadia, LLC
• Jenny Sue Brown, COTA

• Occupational Therapy Assistant in Eagle, ID
• Providers in Eagle, ID by specialty
• Occupational Therapy Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.