Organization Active NPI

Rocklein Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Delmar, NY
National Provider Identifier
1326362088
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ROCKLEIN PHYSICAL THERAPY, PLLC
Practice address
163 Delaware Ave
Suite 101
Delmar, NY 12054-1313
Phone
(518) 928-8103
NPI assigned
Mar 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Bradley Robert Rocklein, PTNPI 1912220757
Title
Owner
Phone
(518) 928-8103

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

163 Delaware Ave
Suite 101
Delmar, NY 12054-1313

Mailing address

163 Delaware Ave
Suite 101
Delmar, NY 12054-1313
Phone (518) 928-8103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100823000956 NY Part B Supplier - Clinic/Group Practice 5991829285 Receives reassigned benefits from 2 practitioners
Practice locations: Delmar, NY

National Provider Directory

National Provider Directory

Locations

163 Delaware Ave
Ste 101
Delmar, NY 12054
Phone (518) 915-1890

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1326362088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 DELAWARE AVE",
            "address_2": "SUITE 101",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541313",
            "telephone_number": "518-928-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 DELAWARE AVE",
            "address_2": "SUITE 101",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541313",
            "telephone_number": "518-928-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKLEIN PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "ROCKLEIN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-928-8103",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmar, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.