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BRENNAN P CARROLL CTRS
NPI 1124731625
Recreation Therapist in Grand Rapids, MI

Active since December 29, 2022
4934 LUXEMBURG ST SE, GRAND RAPIDS, MI 49546(616) 215-0444 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brennan P Carroll Ctrs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENNAN P CARROLL CTRS (NPI 1124731625) is an individual recreation therapist in Grand Rapids, Michigan, licensed in Michigan (85823) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1124731625
Entity TypeIndividualMale
Primary Taxonomy225800000X
Provider Legal NameBRENNAN P CARROLLCredential: CTRS
Location Address4934 LUXEMBURG ST SEGrand Rapids, MI 49546-8406
Mailing AddressPo Box 1053Ada, MI 49301-1053 · (616) 215-0444
Phone(616) 215-0444
Sole ProprietorNo
Enumeration DateDecember 29, 2022
NPPES CertifiedDecember 29, 2022
✔ NPI 1124731625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
License✔ Licensed in MI · 85823
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
4934 LUXEMBURG ST SE, Grand Rapids, MI 49546
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Other Identifiers 1

Other85823MI · National Council For Therapeutic Recreation Certification (nctrc)

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFE THERAPEUTIC SOLUTIONS, INC
Community/Behavioral Health
4934 LUXEMBURG ST SE
GRAND RAPIDS, MI 49546
Kent County (810) 434-3339
NICOLE THOMAS CTRS
Recreation Therapist
4934 LUXEMBURG ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 828-5492
DEBORAH BREWER CTRS
Recreation Therapist
4934 LUXEMBURG ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 215-0444
LILLIAN VENEMA
Recreation Therapist
4934 LUXEMBURG ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 215-0444
JULIANA BARLA CTRS
Recreation Therapist
4934 LUXEMBURG ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 828-5492
JENNIFER AYRE MS, CTRS
Recreation Therapist
4934 LUXEMBURG ST SE
GRAND RAPIDS, MI 49546
Kent County (810) 434-3339
ZACHARY ELDERS CTRS
Recreation Therapist
4934 LUXEMBURG ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 215-0444
MRS. NINA R BARCHESKI CTRS
Recreation Therapist
4934 LUXEMBURG ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 215-0444

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 Brennan Carroll's NPI number?

The NPI number for Brennan Carroll is 1124731625. It was assigned to this individual provider in the NPPES registry on December 29, 2022.

Where is Brennan Carroll located?

Brennan Carroll practices at 4934 Luxemburg St SE, Grand Rapids, MI 49546. The listed phone number is (616) 215-0444.

What is Brennan Carroll's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Brennan Carroll was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.