Healthcare Provider Details

I. General information

NPI: 1093341182
Provider Name (Legal Business Name): ABIGAIL BRINKMAN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2020
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4455 E CAMELBACK RD STE D155
PHOENIX AZ
85018-2888
US

IV. Provider business mailing address

PO BOX 88747
MILWAUKEE WI
53288-8747
US

V. Phone/Fax

Practice location:
  • Phone: 480-626-2444
  • Fax: 833-473-4947
Mailing address:
  • Phone: 480-945-6777
  • Fax: 480-257-7310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT60947475
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT.0006269
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT23397
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number416425
License Number StateOR
# 5
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTH-008561
License Number StateAZ
# 6
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT010509
License Number StateOH
# 7
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTH4553
License Number StateME
# 8
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberEL12324
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: