Kaitlyn Brogan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT029623 Issued in PA

Practice address

520 S 19TH St
Philadelphia, PA 19146-1449

Phone

(215) 731-1449

Fax

(215) 731-1345

NPI assigned

Aug 23, 2021

Last updated

May 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zarett Rehab Associates P.C.Group PAC ID 8820156011, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EACEAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Zarett Rehab Associates P.C.

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1770539165
  Medicare reassignment Care Compare group NPD
• Neurosurgical Care, LLC

  • Durable Medical Equipment & Medical Supplies
  • Collegeville, PA
  • NPI 1265629323
  NPD (past)

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1346916939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S 19TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461449",
            "telephone_number": "215-546-0251",
            "fax_number": "215-731-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S 19TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461449",
            "telephone_number": "215-731-1449",
            "fax_number": "215-731-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGAN",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Brody, PT, DPT
• Lee Ann Brodzik, D.O.
• Albert M Broennle, M.D.
• Andrew Brofsky
• Joseph M. Brogan, DMD
• Lauren Nicole Brogan, DPT
• Pearl Elizabeth Brogdon
• Christopher Brokus
• Bruno Broll-Barone, PH.D.
• Denise M. Broll-Dalton, PA-C

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.