BROOKE MIRANDA (NPI# 1932641347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932641347 |
| Entity Type | Individual |
| Full Name | BROOKE MIRANDA |
| Credential | OT |
| Practice Address |
815 Nw 9th St Suite180 Corvallis OR 97330-6173 |
| Practice Telephone | 5417685157 |
| Practice Fax Number | 5417685080 |
| Mailing Telephone | 5417685157 |
| Mailing Fax Number | 5417685080 |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 348757 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
815 NW 9TH ST SUITE180 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-6173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770551244 | Jacquelyn Soyoung Kwon | Physical Therapist | 815 Nw 9th St, Suite180, Corvallis, OR 97330-6173 | 2006-03-10 |
| 1861933350 | Catherine Broadhurst | Speech-Language Pathologist | 815 Nw 9th St, Suite 180, Corvallis, OR 97330-6173 | 2017-03-16 |
| 1528505492 | David Ramcharan | Occupational Therapist | 815 Nw 9th St, Suite180, Corvallis, OR 97330-6173 | 2017-01-30 |
| 1770026890 | Rowan Bupp | Speech-Language Pathologist | 815 Nw 9th St, Suite180, Corvallis, OR 97330-6173 | 2016-11-21 |
| 1528501806 | Carrie Anne Raymond | Physical Therapist | 815 Nw 9th St, Suite180, Corvallis, OR 97330-6173 | 2016-11-18 |
| 1356883763 | Paulina Shackelford | Physical Therapist | 815 Nw 9th St, Suite180, Corvallis, OR 97330-6173 | 2016-11-16 |
| 1083080865 | Daniel Brian Jenkins | Physical Therapist | 815 Nw 9th St, Suite180, Corvallis, OR 97330-6173 | 2015-08-17 |
| 1023441219 | Erin Kettler | Physical Therapist | 815 Nw 9th St, Suite180, Corvallis, OR 97330-6173 | 2013-08-12 |
| 1770847881 | Michael Torgerson | Speech-Language Pathologist | 815 Nw 9th St, Suite180, Corvallis, OR 97330-6173 | 2012-07-03 |
| 1023379674 | Loretta Rivard | Occupational Therapist | 815 Nw 9th St, Suite 202, Corvallis, OR 97330-6173 | 2012-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| 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 |
|---|---|---|---|---|
| 1972151595 | Active Wellness LLC | Occupational Therapist | 120 Sw 4th St Ste 170, Corvallis, OR 97333-4896 | 2019-08-27 |
| 1922416981 | Daniel Garrison | Occupational Therapist | 2715 Nw Coolidge Way, Corvallis, OR 97330-4343 | 2014-07-22 |
| 1336420124 | Christyna Kiesel | Occupational Therapist | 996 Nw Circle Blvd Ste 101, Corvallis, OR 97330-1485 | 2011-09-07 |
| 1124238795 | Alan Todd King | Occupational Therapist | 815 Nw 9th St Ste 180, Corvallis, OR 97330-6173 | 2007-05-23 |
| 1689887630 | Joan Louise Clapper | Occupational Therapist | 612 Sw 2nd St, Corvallis, OR 97333-4442 | 2007-05-07 |
| 1568508216 | Cynthia Renee Davis | Occupational Therapist | 815 Nw 9th Street Suite180, Corvallis, OR 97330-6173 | 2007-01-29 |
| 1669549036 | Leslie Y Dobkins | Occupational Therapist | 4515 Sw Country Club Dr, Corvallis, OR 97333 | 2006-11-29 |
| 1225126568 | Peggy Stein | Occupational Therapist | 120 Sw 4th St, Ste 170, Corvallis, OR 97333-4896 | 2006-10-11 |
| 1720038490 | Pamela J Hough | Occupational Therapist | 2350 Nw Century Drive, Suite 100, Corvallis, OR 97330 | 2006-05-11 |
| 1780651018 | Pamela Hood Szivek | Occupational Therapist | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2006-03-06 |
| Find all providers in CORVALLIS | ||||
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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.