MEDICARE: CARA BROCKMEYER OTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	18-01999	KS

General Provider Information

NPI Number	:	1013890151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARA BROCKMEYER OTA

Provider Business Mailing Address
First Line	:	2001 SW JEWELL AVE
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66621-1146
Country	:	US
Telephone Number	:	316-821-6995
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 SW JEWELL AVE
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66621-1146
Country	:	US
Telephone Number	:	316-821-6995
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2025
Last Update Date	:	12/29/2025

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Directions to “ CARA BROCKMEYER OTA” Practice Location

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