Brooke Southivong
NPI 1467887406 · Occupational Therapy Assistant · Fort Wayne, IN
Brooke Southivong is a Occupational Therapy Assistant provider in Fort Wayne, IN (NPI 1467887406).
Provider details
- NPI number
- 1467887406
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 32002424A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-09-10
- Last updated
- 2014-02-20
Frequently asked questions
- What is Brooke Southivong's NPI number?
- Brooke Southivong's National Provider Identifier (NPI) is 1467887406, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brooke Southivong's specialty?
- Brooke Southivong is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Brooke Southivong located?
- Brooke Southivong's practice location on file with NPPES is 884 Beal Brook Pass, Fort Wayne, IN 46814-8236.
- What is Brooke Southivong's phone number?
- The practice phone number listed in the NPPES registry for Brooke Southivong is (260) 479-0828.
- Is Brooke Southivong's NPI active?
- Yes — Brooke Southivong's NPI (1467887406) is active in the NPPES registry as of the last update on 2014-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.