Active NPI
Olwen Lois Brooks, OTR/L
- Occupational Therapist
- Rome, GA
National Provider Identifier
1992981229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT001345
- Practice address
- 32 Hadrian Ridge Dr SW
Rome, GA 30165-3691 - Phone
- (293) 643-6582
- Fax
- (855) 232-8604
- NPI assigned
- Jan 16, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 11927 | FL | |
| Occupational Therapist | 225X00000X | OT001345 | GA | Primary |
Addresses
Primary practice location
32 Hadrian Ridge Dr SW
Rome, GA 30165-3691
Mailing address
32 Hadrian Ridge Dr SW
Rome, GA 30165-3691
Phone (293) 643-6582
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 11927 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601337600000",
"number": "1992981229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 HADRIAN RIDGE DR SW",
"city": "ROME",
"state": "GA",
"postal_code": "301653691",
"telephone_number": "293-643-6582",
"fax_number": "855-232-8604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 HADRIAN RIDGE DR SW",
"city": "ROME",
"state": "GA",
"postal_code": "301653691",
"telephone_number": "293-643-6582",
"fax_number": "855-232-8604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "OLWEN",
"middle_name": "LOIS",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-16",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 11927",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT001345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.