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SHANE BROOKS TRS, CTRS
NPI 1417774001
Recreational Therapist Assistant in West Jordan, UT

Active since September 24, 2024
5500 W BAGLEY PARK RD, WEST JORDAN, UT 84081(801) 282-1000 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Shane Brooks Trs, Ctrs NPPES

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

SHANE BROOKS TRS, CTRS (NPI 1417774001) is an individual recreational therapist assistant in West Jordan, Utah, licensed in Utah (12998539-4002) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1417774001
Entity TypeIndividualMale
Primary Taxonomy226000000X
Provider Legal NameSHANE BROOKSCredential: TRS, CTRS
Location Address5500 W BAGLEY PARK RDWest Jordan, UT 84081-5697
Mailing Address5500 W Bagley Park RdWest Jordan, UT 84081-5697 · (801) 282-1000
Phone(801) 282-1000
Sole ProprietorNo
Enumeration DateSeptember 24, 2024
NPPES CertifiedSeptember 24, 2024
✔ NPI 1417774001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreational Therapist AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code226000000X
License✔ Licensed in UT · 12998539-4002
Definition
Recreational Therapist Assistants work in support of or assistant to Recreational Therapists treating patients with disabilities, injuries, and illnesses. Recreational Therapist Assistants work in a variety of settings providing treatments using recreational activities, including games, sports, and crafts.
5500 W BAGLEY PARK RD, West Jordan, UT 84081
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Other Providers at the Same Location NPPES 12

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

JOHN M OGDEN LCSW
Social Worker (Clinical)
5500 W BAGLEY PARK RD
WEST JORDAN, UT 84081
Salt Lake County (801) 282-1000
AMY LYNN WHITTAKER LCSW
Social Worker (Clinical)
5500 W BAGLEY PARK RD
WEST JORDAN, UT 84081
Salt Lake County (801) 282-1027
DARBY GOLDEN
Behavior Analyst
5500 W BAGLEY PARK RD
WEST JORDAN, UT 84081
Salt Lake County (801) 282-4315
SHANE BYRON PARK
Behavior Analyst
5500 W BAGLEY PARK RD
WEST JORDAN, UT 84081
Salt Lake County (702) 917-4192
HAVENWOOD II
Clinic/Center (Mental Health (Including Community Mental Health Center))
5500 W BAGLEY PARK RD
WEST JORDAN, UT 84081
Salt Lake County (435) 586-2500
STUART PALMER JR. CSW
Social Worker (Clinical)
5500 W BAGLEY PARK RD
WEST JORDAN, UT 84081
Salt Lake County (801) 282-1000
ERIC K ALLRED LMFT
Counselor (Mental Health)
5500 W BAGLEY PARK RD
WEST JORDAN, UT 84081
Salt Lake County (801) 282-1003
ALEX BULLOCK
Behavior Analyst
5500 W BAGLEY PARK RD
WEST JORDAN, UT 84081
Salt Lake County (801) 282-4315

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 Shane Brooks's NPI number?

The NPI number for Shane Brooks is 1417774001. It was assigned to this individual provider in the NPPES registry on September 24, 2024.

Where is Shane Brooks located?

Shane Brooks practices at 5500 W Bagley Park Rd, West Jordan, UT 84081. The listed phone number is (801) 282-1000.

What is Shane Brooks's specialty?

The primary specialty registered for this NPI is Recreational Therapist Assistant with taxonomy code 226000000X.

When was this NPI record last updated?

The NPPES record for Shane Brooks was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.