BROOKE NYSTROM OTR/L, MOT
NPI 1093573222
Occupational Therapist in San Francisco, CA
About Brooke Nystrom Otr/l, Mot NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOKE NYSTROM OTR/L, MOT (NPI 1093573222) is an individual occupational therapist in San Francisco, California, licensed in California (12449) and active in the NPI registry since March 2024. She maintains a secondary practice location in San Francisco and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brooke Nystrom Otr/l, Mot is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Brooke Nystrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Orinda, CA 94563
- Reassigned Medicare billing, California enrollment
- 4,479 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN FRANCISCO, CA 94109
SAN FRANCISCO, CA 94109
SAN FRANCISCO, CA 94109
SAN FRANCISCO, CA 94109
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brooke Nystrom's NPI number?
The NPI number for Brooke Nystrom is 1093573222. It was assigned to this individual provider in the NPPES registry on March 12, 2024. The provider is also known as Stainton Brooke.
Where is Brooke Nystrom located?
Brooke Nystrom practices at 1100 Van Ness Ave Fl 6, San Francisco, CA 94109. The listed phone number is (415) 600-3604.
What is Brooke Nystrom's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Brooke Nystrom enrolled in Medicare?
Yes. Brooke Nystrom is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Brooke Nystrom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Nystrom reassigns Medicare benefits to Sutter Bay Medical Foundation (Orinda, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brooke Nystrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brooke Nystrom was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.