STEPHANIE NICOLE BROCKMANN (NPI# 1649769340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649769340 |
| Entity Type | Individual |
| Full Name | STEPHANIE NICOLE BROCKMANN |
| Practice Address |
400 S 43rd St Renton WA 98055-5714 |
| Mailing Address |
3600 Lind Ave Sw Ste 100 Renton WA 98057-4970 |
| Practice Telephone | 4252515165 |
| Practice Fax Number | 4256564028 |
| Mailing Telephone | 4252283440 |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT60840401 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
400 S 43RD ST |
| City | RENTON |
| State | WA |
| Zip Code | 98055-5714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681569 | Minsoo Kang | Internal Medicine | 400 S 43rd St, Renton, WA 98055 | 2005-07-07 |
| 1700490760 | Toni Anne Wolcott | Registered Nurse | 400 S 43rd St, Renton, WA 98055 | 2020-09-06 |
| 1770107484 | Richmond Li | Registered Nurse | 400 S 43rd St, Renton, WA 98055-5714 | 2020-05-29 |
| 1144840711 | Brendan Wesley-smith | Registered Nurse | 400 S 43rd St, Renton, WA 98055-5714 | 2020-04-23 |
| 1205460359 | Yingying Lu | Registered Nurse | 400 S 43rd St, Renton, WA 98055-5714 | 2020-02-27 |
| 1508404955 | Hannah Rae Humphrey | Speech-Language Pathologist | 400 S 43rd St, Renton, WA 98055-5714 | 2019-12-17 |
| 1881232247 | Jennifer Susan Katz | Physical Therapist | 400 S 43rd St, Renton, WA 98055-5714 | 2019-12-17 |
| 1760029714 | Selam Estefanos | Registered Nurse | 400 S 43rd St, Renton, WA 98055-5714 | 2019-12-09 |
| 1407493133 | Alba Sari | Registered Nurse | 400 S 43rd St, Renton, WA 98055-5714 | 2019-12-02 |
| 1336784131 | Julia Lysyuk | Nurse Anesthetist, Certified Registered | 400 S 43rd St, Renton, WA 98055-5714 | 2019-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| 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 |
|---|---|---|---|---|
| 1801425160 | Christina Lulu Zhang | Occupational Therapist | 104 Burnett Ave S, Renton, WA 98057-2121 | 2020-04-07 |
| 1386208221 | Jing Cao | Occupational Therapist | 2508 Blaine Ave Ne, Renton, WA 98056-8309 | 2019-04-25 |
| 1306389416 | Michelle Renee Gangi | Occupational Therapist | 15025 Se 117th St, Renton, WA 98059-6017 | 2016-11-21 |
| 1437501632 | Rachel Lynn Hiatt Arnold | Occupational Therapist | 629 Cedar Ave S Apt A102, Renton, WA 98057-6076 | 2016-07-12 |
| 1669847810 | Jessica Griesse | Occupational Therapist | 310 Williams Ave N, Renton, WA 98057-5613 | 2015-12-13 |
| 1962880203 | Aileen Mendoza | Occupational Therapist | 17559 110th Ln Se, Renton, WA 98055-6480 | 2015-05-07 |
| 1669859849 | Diana Wallace | Occupational Therapist | 1207 N 33rd St, Renton, WA 98056-1943 | 2015-04-27 |
| 1043603962 | Annastassia Mina Woo Nelson | Occupational Therapist | 2640 Benson Rd S, Renton, WA 98055-5106 | 2015-03-17 |
| 1205250784 | Aegis Therapies - Washington Rehab LLC | Occupational Therapist | 1600 Eagle Ridge Dr S, Renton, WA 98055-3567 | 2014-02-05 |
| 1861651796 | Darla Brewer | Occupational Therapist | 14617 Se 173rd St, Renton, WA 98058-8760 | 2008-06-05 |
| Find all providers in RENTON | ||||
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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.