MRS. MOLLY MARIE BROOKS (NPI# 1750594065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750594065 |
| Entity Type | Individual |
| Full Name | MRS. MOLLY MARIE BROOKS |
| Credential | COTA |
| Practice Address |
845 South Main Street Suite 120 Fond Du Lac WI 54935 |
| Practice Telephone | 9203220447 |
| Practice Fax Number | 9203221362 |
| Mailing Telephone | 9203220447 |
| Mailing Fax Number | 9203221362 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2010-02-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 1198-827 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 224Z00000X | Occupational Therapy Assistant | 1180027 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40886600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780175133 | Molly Brooks | Speech-Language Pathologist | 225 Wes Park Dr, Perry, GA 31069-4829 | 2018-05-22 |
| 1568837342 | Molly Brooks | Massage Therapist | 3800 Lake Otis Pkwy, Anchorage, AK 99508-5209 | 2015-12-05 |
| 1407243058 | Molly Brooks | Occupational Therapy Assistant | 127 Carter St, Richmond Hill, GA 31324-3753 | 2015-04-22 |
| 1164867024 | Molly Claire Brooks | Speech-Language Pathologist | 1211 N Shartel Ave Ste 200, Oklahoma City, OK 73103-2425 | 2013-05-06 |
| Street Address |
845 SOUTH MAIN STREET SUITE 120 |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760526131 | Jennifer L Taylor | Physical Therapist | 845 South Main Street, Suite 120, Fond Du Lac, WI 54935 | 2007-02-17 |
| 1366677379 | Patricia Jean Theabo | Physical Therapy Assistant | 845 South Main Street, Suite 120, Fond Du Lac, WI 54935-6116 | 2009-05-19 |
| 1538347802 | Carolanne Marjorie Bilitz | Physical Therapy Assistant | 845 South Main Street, Suite 120, Fond Du Lac, WI 54935 | 2008-02-08 |
| 1588857494 | Kim Loomans | Physical Therapy Assistant | 845 South Main Street, Suite 120, Fond Du Lac, WI 54935 | 2007-08-23 |
| 1063605970 | Jody L Pomplun | Occupational Therapy Assistant | 845 South Main Street, Suite 120, Fond Du Lac, WI 54935 | 2007-08-23 |
| 1861605743 | Alan Walter Hill | Physical Therapy Assistant | 845 South Main Street, Suite 120, Fond Du Lac, WI 54935 | 2007-05-08 |
| 1285846147 | Barbara A. Meyers | Physical Therapy Assistant | 845 South Main Street, Suite 120, Fond Du Lac, WI 54935 | 2007-05-04 |
| 1679795496 | Amy Lynn Schatzke | Physical Therapy Assistant | 845 South Main Street, Suite 120, Fond Du Lac, WI 54935 | 2007-05-02 |
| 1396967410 | Gretchen Catherine Hafemeister | Occupational Therapy Assistant | 845 South Main Street, Suite 120, Fond Du Lac, WI 54935 | 2007-05-02 |
| 1629290671 | Kristine Greve | Occupational Therapist | 845 South Main Street, Suite 120, Fond Du Lac, WI 54935 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
| 1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
| 1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| Find all providers in zip 54935 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851748222 | Andrea Schmidt | Occupational Therapy Assistant | 767 Security Dr, Apartmen Y204, Fond Du Lac, WI 54935-8167 | 2016-05-16 |
| 1053688408 | Sheila Elice Hopp | Occupational Therapy Assistant | 44 Concord Dr, Fond Du Lac, WI 54935-2956 | 2011-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| 1609408681 | Emma K Felckowski | Occupational Therapy Assistant | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2020-02-07 |
| 1699306761 | Elizabeth Colleen Kees | Occupational Therapy Assistant | 517 E Division St, Fond Du Lac, WI 54935-3735 | 2020-01-28 |
| 1538719398 | See Yang | Occupational Therapy Assistant | 115 E Arndt St, Fond Du Lac, WI 54935-2461 | 2019-09-13 |
| 1972035186 | Christina Louise Kanuscak | Occupational Therapy Assistant | 115 E Arndt St, Fond Du Lac, WI 54935-2461 | 2017-03-28 |
| 1952841504 | Malery Meilahn | Occupational Therapy Assistant | 244 N Macy St, Fond Du Lac, WI 54935-3362 | 2017-03-01 |
| 1659733889 | Hanh Vogds | Occupational Therapy Assistant | 115 E Arndt St, Fond Du Lac, WI 54935-2461 | 2016-03-26 |
| 1053731398 | Patti Witt | Occupational Therapy Assistant | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2014-04-25 |
| Find all providers in FOND DU LAC | ||||
| City | FOND DU LAC |
| Zip Code | 54935 |
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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.