NPI Details
BRENTOM, LLC, is an occupational therapist in Peoria, AZ. The provider is an occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. BRENTOM, LLC, NPI is 1023540531. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .
The provider's business location address is:
20783 N 83RD AVE STE 103
PEORIA, AZ
ZIP 85382-430
Phone: (623) 444-8880
Fax: (623) 444-9282
The provider's authorized official is Shawn Maurice Williams .
The authorized official title is Occupational Therapist/ Owner and has the following contact phone number (602) 430-8665.
The enumeration date for this NPI number is 4/3/2017 and was last updated on 3/21/2025.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 2251G0304X | Physical Therapist | Geriatrics | | | No |
| 2 | 225X00000X | Occupational Therapist | | 2491 | ARIZONA | Yes |
| 3 | 225X00000X | Occupational Therapist | | | | No |
| 4 | 225XH1200X | Occupational Therapist | Hand | 2491 | ARIZONA | No |
| 5 | 225XM0800X | Occupational Therapist | Mental Health | 2491 | ARIZONA | No |
| 6 | 225XP0019X | Occupational Therapist | Physical Rehabilitation | 2491 | ARIZONA | No |
| 7 | 225XP0200X | Occupational Therapist | Pediatrics | 2491 | ARIZONA | No |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 501032 | MEDICAID | ARIZONA | |
