Healthcare Provider Details

I. General information

NPI: 1295466142
Provider Name (Legal Business Name): BROOKE BEAN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2022
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16401 E CENTRETECH PKWY STE 2
AURORA CO
80011-9066
US

IV. Provider business mailing address

7575 E 29TH PL APT 4016
DENVER CO
80238-4074
US

V. Phone/Fax

Practice location:
  • Phone: 720-706-3396
  • Fax:
Mailing address:
  • Phone: 864-417-3528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT.0008919
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: