MRS. BROOKE SHAW (NPI# 1053702852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053702852 |
| Entity Type | Individual |
| Full Name | MRS. BROOKE SHAW |
| Credential | COTA/L |
| Practice Address |
2222 Sullivan Trl Easton PA 18040-7958 |
| Mailing Address |
3879 Bill Jones Rd Apison TN 37302-9749 |
| Practice Telephone | 6109912034 |
| Mailing Telephone | 4233225487 |
| Enumeration Date | 2015-02-15 |
| Last Update Date | 2015-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
OTA0000001752 | TN | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609490382 | Brooke Martin Shaw | Nurse Practitioner | 5514, 350 N Cox St, Ste 6, Asheboro, NC 27203 | 2020-05-29 |
| 1316191380 | Brooke Shaw | Speech-Language Pathologist | 16722 County Route 156, Watertown, NY 13601-5762 | 2008-11-04 |
| 1386776243 | Brooke A Shaw | Lactation Consultant, Non-RN | 10030 Manchester Rd, Saint Louis, MO 63122-1832 | 2007-03-09 |
| Street Address |
2222 SULLIVAN TRL |
| City | EASTON |
| State | PA |
| Zip Code | 18040-7958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679516199 | Randall A Weston | Occupational Therapist | 2222 Sullivan Trl, Easton, PA 18040 | 2006-06-13 |
| 1447892757 | Erin Thompson | Occupational Therapist | 2222 Sullivan Trl, Easton, PA 18040-7958 | 2019-10-09 |
| 1619447661 | Alice Schwab Whiteside | Physical Therapist | 2222 Sullivan Trl, Easton, PA 18040-7958 | 2018-12-03 |
| 1821598236 | Holly Kaulius | Occupational Therapist | 2222 Sullivan Trl, Easton, PA 18040-7958 | 2018-02-13 |
| 1679015705 | Amy Rodgers | Physical Therapy Assistant | 2222 Sullivan Trl, Easton, PA 18040-7958 | 2016-11-07 |
| 1841640802 | Lea Niblett Cleveland | Speech-Language Pathologist | 2222 Sullivan Trl, Easton, PA 18040-7958 | 2016-06-20 |
| 1518324813 | Brittany Dallas | Occupational Therapist | 2222 Sullivan Trl, Easton, PA 18040-7958 | 2016-01-19 |
| 1699150615 | Amanda Little Gosnell | Speech-Language Pathologist | 2222 Sullivan Trl, Easton, PA 18040-7958 | 2015-07-21 |
| 1851701973 | Tabatha Brickley | Occupational Therapist | 2222 Sullivan Trl, Easton, PA 18040-7958 | 2014-04-28 |
| 1841618576 | Lisa Lynn Mathis | Occupational Therapist | 2222 Sullivan Trl, Easton, PA 18040-7958 | 2014-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922577683 | Ryan Toth | Pharmacist | 3825 Sullivan Trail, Easton, PA 18040 | 2018-11-24 |
| 1477033983 | St. Luke's Physician Group Inc | Family Medicine | 2003 Sullivan Trl Ste 5, Easton, PA 18040 | 2018-08-15 |
| 1689188807 | Pacifico Dental Care of Forks | Clinic/Center | 2202 Sullivan Trail, Easton, PA 18040 | 2017-11-27 |
| 1588953541 | Weis Markets Inc | Pharmacy | 3825 Sullivan Trl, Easton, PA 18040 | 2011-03-30 |
| 1871893529 | Accurate Dermatology Pa, LLC | Dermatology | 2805 Fringe Lane, Easton, PA 18040 | 2010-10-28 |
| 1871801209 | Mobility Rehab Products, LLC | Durable Medical Equipment & Medical Supplies | 2222 Sullivan Trail, Easton, PA 18040 | 2010-09-20 |
| 1326206798 | Damaris Vanderhall | Social Worker | 1011 George St Apt 2k, Easton, PA 18040 | 2008-06-01 |
| 1902011844 | Frank G Greco | Pharmacist | 1955 Sullivan Trail, Easton, PA 18040 | 2007-05-14 |
| 1720199805 | Carl Joseph Milano | Oral & Maxillofacial Surgery | 1412 Sullivan Trl, Easton, PA 18040 | 2006-08-31 |
| 1508343906 | St Lukes Hospital | Emergency Medicine | 2003 Sullivan Trl, Easton, PA 18040 | 2018-07-27 |
| Find all providers in zip 18040 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972541928 | Channel Marker, Inc. | Clinic/Center | 8865 Glebe Park Dr, Unit 1, Easton, MD 21601-7003 | 2006-06-03 |
| 1992261028 | Ren Acupuncture Services | Clinic/Center | 150 S 17th St Unit 1, Easton, PA 18042-3927 | 2019-02-13 |
| 1447210463 | Shore Health System, Inc | Clinic/Center | 10 Martin Ct, Easton, MD 21601-3833 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1174120448 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 14953 Kutztown Rd Ste 1, Kutztown, PA 19530-8381 | 2020-10-08 |
| 1558979328 | Phs Physical Therapy, LLC | Clinic/Center | 2201 Brunswick Dr Ste 2400, Hanover, PA 17331-8350 | 2020-07-17 |
| 1043835705 | Reeves Physical Therapy LLC | Clinic/Center | 509 Spring Garden St, Philadelphia, PA 19123-2820 | 2020-06-09 |
| 1235751264 | Keystone Rehabilitation Systems, Inc. | Clinic/Center | 289 Cetronia Rd Unit 102, Allentown, PA 18104-9223 | 2020-05-13 |
| 1770105082 | Institute for Cognitive Prosthetics Inc | Clinic/Center | 346 Llandrillo Rd, Bala Cynwyd, PA 19004-2335 | 2020-05-08 |
| 1245877430 | Rehabclinics (spt), Inc. | Clinic/Center | 255 Main St Ste 120, King of Prussia, PA 19406-1509 | 2019-12-06 |
| 1457994253 | Phs Physical Therapy, LLC | Clinic/Center | 5815 York Rd, New Oxford, PA 17350-9464 | 2019-10-24 |
| 1710537097 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 19 W Highland Ave, Philadelphia, PA 19118-3309 | 2019-09-18 |
| 1902453343 | Rehabclinics (spt), Inc. | Clinic/Center | 2721 Street Rd Ste 2735, Bensalem, PA 19020-2810 | 2019-08-21 |
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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.