Kellie Marie Brooks
Occupational Therapy Assistant in Homosassa, FL. Individual provider (NPI-1).
NPI number1356619985
StatusActive
Last updated in NPPESJan 18, 2017
Details
- NPI
- 1356619985
- Entity type
- Individual (NPI-1)
- Name
- Kellie Marie Brooks
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 9, 2011
- Last updated
- Jan 18, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | OTA 15488 | FL | Yes |
| 2355S0801X | Specialist/Technologist, Speech-Language Assistant | SI 1956 | FL |
Practice location
6517 W Robin LnHomosassa, FL 34448-7355
Phone 352-422-6615
Mailing address
6517 W Robin LnHomosassa, FL 34448-7355
Phone 352-422-6615
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Occupational Therapy Assistant providers in Homosassa, FL
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- Aljarrod Baker, COTANPI 1952058455
- Idalia Marie BarbaNPI 1134600604
- Michelle Basulto, OTANPI 1417677287
- Jamie BeardNPI 1598150468
- Andrea Desiree BrownNPI 1154818300
- Brittney Brown, COTANPI 1144973876
- Madison Cairo, COTANPI 1194449868
- Nancy CollinsNPI 1164833869
- Angela Cook JohnsonNPI 1427538685
All 72 Occupational Therapy Assistant providers in Homosassa · All 572 providers in Homosassa
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