HAYLEY KEEN BROCK


Address: 1000 Blythe Blvd, Charlotte, NC 28203-5812
Phone: 4047315911

HAYLEY KEEN BROCK (NPI# 1013576198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013576198
Entity Type Individual
Full Name HAYLEY KEEN BROCK
Credential OTR/L
Practice Address 1000 Blythe Blvd
Charlotte
NC 28203-5812
Mailing Address 5350 Pinehurst Park Dr Apt 2018
Charlotte
NC 28211-4989
Practice Telephone 4047315911
Enumeration Date 2019-06-11
Last Update Date 2020-07-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 5472 SC Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1000 BLYTHE BLVD
City CHARLOTTE
State NC
Zip Code 28203-5812

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740282946 Shoaib Lateef Hospitalist 1000 Blythe Blvd, Cmc Annex 1st Floor, Charlotte, NC 28203-5812 2005-06-01
1588264527 Elizabeth Lopez Registered Nurse 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-10-29
1164021648 Daniel Alan Nichols Registered Nurse 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-10-26
1487267878 Anna Molengraft Physician Assistant 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-08-26
1699388116 Cassandra L. Barnes Nurse Practitioner 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-08-25
1407469927 Lesley Rummage Nurse Practitioner 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-08-25
1104437326 Nicole Clarke Registered Nurse 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-08-11
1942819594 Nigella Siegl Nurse Practitioner 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-07-29
1316556319 Carly E Janusek Physician Assistant 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-07-26
1932717212 Lauren May Vanderlip Registered Nurse 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-07-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982225983 William Bedard Michel Emergency Medicine Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 2020-04-30
1922636927 Paulina M Kriska Dentist Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 2020-03-27
1386271930 Irina Maria Geiculescu Pediatrics 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 2020-03-24
1205499316 James C Winnek Counselor 1713 East Blvd., Charlotte, NC 28203 2019-04-16
1487114492 Laurie Fford Counseling and Consulting Pllc Counselor 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 2019-03-25
1184188815 Sunday Money Home Health 2151 Hawkins St., Suite 201, Charlotte, NC 28203 2019-01-28
1164902706 Lindsay Koonce Helton Dietitian, Registered 1218 East Blvd Ste G, Charlotte, NC 28203 2018-08-14
1376057406 Veritas Collaborative Charlotte, LLC Clinic/Center 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 2017-11-28
1043733306 Kimberly Stripp Pharmacist 1300-b East Blvd, Charlotte, NC 28203 2017-07-19
1427570639 Caroline Kaleel Fogleman Optometrist 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 2017-07-10
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588279863 Jessica Laser Occupational Therapist 8819 Norway Ct, Charlotte, NC 28269-5180 2020-09-13
1700424397 Elizabeth Gendernalik Occupational Therapist 1027 Healthcare Dr, Charlotte, MI 48813-1056 2019-12-15
1598302937 Brigit Boyce Occupational Therapist 8848 Red Oak Blvd, Ste Aa, Charlotte, NC 28217 2019-12-04
1144865734 Darci Pernoud Occupational Therapist 13000 S Tryon St Ste F-349, Charlotte, NC 28278-7652 2019-11-07
1619527199 Paige Nicole Chester Occupational Therapist 206 Livingstone Falls Dr Apt 212, Charlotte, NC 28217-5247 2019-09-16
1528628823 Happy Kids Therapy Occupational Therapist 11012 Knight Castle Dr, Charlotte, NC 28277-0212 2019-06-18
1861957235 Rachel Floren Payne Occupational Therapist 2142 Commonwealth Ave Apt 423, Charlotte, NC 28205-5177 2019-02-09
1497234611 Benchmark Physical Therapy of Nc, LLC Occupational Therapist 16139 Lancaster Hwy Ste 140, Charlotte, NC 28277-2033 2018-08-08
1023520558 Brittany Stanton Occupational Therapist 2301 Crownpoint Executive Dr Ste 3, Charlotte, NC 28227-7824 2017-10-24
1871016816 Monarch Occupational Therapist 1810 Back Creek Drive, Charlotte, NC 28213 2017-07-21
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Competitor

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City CHARLOTTE
Zip Code 28203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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