BROOKE ANNE SMITH (NPI# 1124583620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124583620 |
| Entity Type | Individual |
| Full Name | BROOKE ANNE SMITH |
| Credential | OT |
| Practice Address |
3640 Mundy Mill Rd Ste 102b Gainesville GA 30504-8226 |
| Mailing Address |
6397 Lee Hwy Ste 300 Chattanooga TN 37421-4915 |
| Practice Telephone | 7702878821 |
| Practice Fax Number | 7702878797 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4232383473 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT007269 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629682372 | Brooke Leigh Smith | Registered Nurse | 12555 Brown Rd, Denham Springs, LA 70726-6931 | 2020-09-01 |
| 1376182873 | Brooke Smith | Dietitian, Registered | 77 W Amberley Dr, Round Lake, IL 60073-4246 | 2019-12-31 |
| 1043792724 | Brooke Morgan Smith | Chiropractor | 5112 W Taft Rd Ste B1, Liverpool, NY 13088-4975 | 2018-08-30 |
| 1225485022 | Brooke Smith | Technician, Other | 304 W Wilson Ave, Gallup, NM 87301-5248 | 2016-05-21 |
| 1578829289 | Brooke Eden Smith | Lactation Consultant, Non-RN | 3238 Crestwood Forest Dr, Deltona, FL 32725-3076 | 2012-04-06 |
| 1679705610 | Brooke D. Smith | Speech-Language Pathologist | 10392 Mccraw Rd, Meridian, MS 39307-9747 | 2009-08-09 |
| 1508484536 | Brooke Smith | Social Worker | 103 Myron St Ste A, West Springfield, MA 01089-1485 | 2020-07-07 |
| 1528607645 | Brooke Michele Smith | Behavior Technician | 3494 Liberty Rd S, Salem, OR 97302-4607 | 2020-01-06 |
| 1609419068 | Brooke Smith | Physician Assistant | 620 W Lexington St, Baltimore, MD 21201-1508 | 2019-10-17 |
| 1881240513 | Brooke Nicole Smith | Counselor | 411 Court St, Portsmouth, OH 45662-3932 | 2019-08-19 |
| Street Address |
3640 MUNDY MILL RD STE 102B |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30504-8226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093819450 | Professional Therapy Services, LLC | Clinic/Center | 3640 Mundy Mill Rd Ste 102b, Gainesville, GA 30504-8226 | 2006-09-07 |
| 1760092191 | Christopher Dove | Physical Therapist | 3640 Mundy Mill Rd Ste 102b, Gainesville, GA 30504-8226 | 2020-07-31 |
| 1982264347 | Daniel Lee Keller | Physical Therapist | 3640 Mundy Mill Rd Ste 102b, Gainesville, GA 30504-8226 | 2019-06-18 |
| 1174863641 | Michael Cody Malone | Physical Therapist | 3640 Mundy Mill Rd Ste 102b, Gainesville, GA 30504-8226 | 2013-02-21 |
| 1154672061 | Leslie Anne Alvarez | Specialist/Technologist | 3640 Mundy Mill Rd Ste 102b, Gainesville, GA 30504-8226 | 2012-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124572 | Jessica Rodriguez New | Pharmacist | 2892 Browns Bridge Road, Gainesville, GA 30504 | 2020-11-03 |
| 1710541461 | Lauren Brooke Taylor | Occupational Therapist | 2900 Mcever Road, Gainesville, GA 30504 | 2019-04-29 |
| 1801023700 | Brenda Levartha Hamilton | Registered Nurse | 3905 Mabry Rd., Gainesville, GA 30504 | 2009-06-18 |
| 1083757645 | Charles Kent Yarbrough | Optometrist | 400 Shallowford Road, Vision Center, Gainesville, GA 30504 | 2007-02-14 |
| 1881746170 | Lisa S. Ralston | Occupational Therapist | 3038 St. Charles Ave., 3038 St. Charles Ave., Gainesville, GA 30504 | 2007-01-17 |
| 1326140690 | David Richards Adamson | Physical Therapist | 3640 Mundy Mill Road, Suite 102b, Oakwood, GA 30504 | 2006-09-05 |
| 1326057621 | Henry Joseph Lewis IIi | Legal Medicine | 5606 Captains Ct, Gainesville, GA 30504 | 2006-08-05 |
| 1992164032 | Hall County Endoscopy Center LLC | Clinic/Center | 1955 Textile Way, Gainesville, GA 30504 | 2016-02-17 |
| 1982902276 | James Minton | Pharmacist | 3640 Mundy Mill Road, Gainesville, GA 30504 | 2011-03-10 |
| 1881758969 | Donna Marie Colavecchio | Occupational Therapy Assistant | 3640 Mundy Mill Road, Suite 102b, Oakwood, GA 30504 | 2006-12-21 |
| Find all providers in zip 30504 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174131544 | Kirsten Elizabeth Bork | Occupational Therapist | 4113 Nw 6th St Ste Bc, Gainesville, FL 32609-0731 | 2020-07-21 |
| 1225654940 | Erin Killen | Occupational Therapist | 8960 Browns Bridge Rd, Gainesville, GA 30506-4010 | 2020-06-18 |
| 1780210260 | Kiera Linton | Occupational Therapist | 500 Spring St Se Ste 100, Gainesville, GA 30501-3773 | 2020-03-17 |
| 1164056370 | Gaura K Mcleod | Occupational Therapist | 925 Nw 25th Ave, Gainesville, FL 32609-2851 | 2020-02-26 |
| 1003440660 | Thy Cam Huynh | Occupational Therapist | 1549 Gale Lemerand Dr, Gainesville, FL 32610 | 2020-02-23 |
| 1518502228 | Kelly Fitzgerald | Occupational Therapist | 1100 Sherwood Park Dr Ne Ste 220, Gainesville, GA 30501-3426 | 2019-11-18 |
| 1821648098 | Katie L Buttafarro | Occupational Therapist | 7820 Baltusrol Blvd, Gainesville, VA 20155-3270 | 2019-09-18 |
| 1285284505 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 3630 Thompson Bridge Rd Ste 4, Gainesville, GA 30506-1523 | 2019-09-18 |
| 1134774706 | Marcia Kay Schneider | Occupational Therapist | 4725 Nw 79th Rd, Gainesville, FL 32653-5117 | 2019-08-09 |
| 1407416720 | Morgan Turner | Occupational Therapist | 940 S Enota Dr Ne, Gainesville, GA 30501-2451 | 2019-06-18 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30504 |
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| 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.