Sharkks Therapy

LBN: Brentom, Llc,
Sharkks Therapy is an health care organization with primary practice located at 20783 N 83Rd Ave Ste 103 , Peoria AZ 85382-7430. The organization recently has 5 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is the primary health care specialty. Brentom, Llc, can be contacted via phone (623) 444-8880, or through Williams, Shawn Maurice via phone (602) 430-8665.

Contact Information

Primary practice address
20783 N 83Rd Ave Ste 103 Peoria AZ 85382-7430
Phone: (623) 444-8880
Fax: (623) 444-9282
Website:
Map and Directions
Authorized official contact:
Name: Williams, Shawn Maurice MS, OTR/L
Phone: (602) 430-8665

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2491 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 2491 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health 225XM0800X 2491 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X 2491 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 2491 Arizona

Profile Details

NPI number 1023540531
LBN Legal business name Brentom, Llc,
DBA Doing business as Sharkks Therapy
Authorized official Williams, Shawn Maurice MS, OTR/L
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2017
Last updated Jan 18th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023540531 NPPES
Arizona MEDICAID 501032

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