Katelyn Brothers
Individual provider Active NPI Speech-Language Pathologist · Breezy Point, NY
NPI 1053668855 · NPPES record last updated Jul 7, 2026
Key facts
- NPI
- 1053668855
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 023111 (NY)
- Practice address
- 4 Clinton Walk
Breezy Point, NY 11697-1004 - Phone
- (347) 538-1296
- NPI assigned
- Aug 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023111 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katelyn Brothers, Speech-Language Pathologist, PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 023111 | NY | Yes |
Addresses
Primary practice location
4 Clinton Walk
Breezy Point, NY 11697-1004
Mailing address
4 Clinton Walk
Breezy Point, NY 11697-1004
Phone (347) 538-1296
Other providers in Breezy Point, NY
- Jenna Ann Baker
- Laura Theresa Baker
- Jennifer Barnett
- Dorothy Marie Bergstol
- Anne Brennan
- Jeanne Marie Bruder
- Rosemary Burti
- Jenna Susanne Caputo
- Patricia Carpenter
- Diane Carroll
All providers in Breezy Point, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.