MEDICARE: ELLISON BROOKS

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	225X00000X	Occupational Therapist	25272	CA

General Provider Information

NPI Number	:	1336070739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLISON BROOKS

Provider Business Mailing Address
First Line	:	1000 DARLING WAY
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95678-4341
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 TRESTLE RD
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95678-5923
Country	:	US
Telephone Number	:	916-771-1710
Fax Number	:

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

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

Similar Medicare Providers

1932556081 — PREMIER PSYCHIATRIC SERVICES, INC
Practice Location Address:

8775 SIERRA COLLEGE BLVD , SUITE #200
ROSEVILLE, CA
95661-5923

Practice Phone: 916-294-7062
Practice Fax: 916-490-3697

1265397897 — NATALYA CORP
Practice Location Address:

141 HINCKLEY CT
ROSEVILLE, CA
95747-5923

Practice Phone: 916-521-5393
Practice Fax:

1912561580 — CHRISTINE GALE SORGMAN
Practice Location Address:

2003 OPPORTUNITY DR STE 6A
ROSEVILLE, CA
95678-3008

Practice Phone: 916-899-5925
Practice Fax: 916-899-5923

1942894035 — KATRINA CASTELLANOS
Practice Location Address:

214 ESTATES DR STE E
ROSEVILLE, CA
95678-2353

Practice Phone: 408-706-6855
Practice Fax:

1639938616 — JESSICA PELUSO
Practice Location Address:

925 HIGHLAND POINTE DR
ROSEVILLE, CA
95678-5427

Practice Phone: 916-783-5207
Practice Fax:

1366373524 — JENNIFER WEERTS OMT
Practice Location Address:

508 GIBSON DR STE 190
ROSEVILLE, CA
95678-5796

Practice Phone: 916-237-7127
Practice Fax:

Directions to “ ELLISON BROOKS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.