Kristin Brockfeld

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2016003549 Issued in MO

Practice address

4800 Mexico Rd
Ste 104
Saint Peters, MO 63376-1666

Phone

(636) 887-3660

NPI assigned

Feb 4, 2016

Last updated

Feb 4, 2016By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Villages of St Peters LLC

  dba The Villages of St Peters

  • Skilled Nursing Facility
  • Saint Peters, MO
  • NPI 1518389048
  NPD (past)

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1386002459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 W MEYER RD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853499",
            "telephone_number": "636-887-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 MEXICO RD",
            "address_2": "STE 104",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761666",
            "telephone_number": "636-887-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKFELD",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2016003549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matt Breig
• Brickey Chiropractic and Rehabilitation, LLC
• David Joseph Brickey, DC
• Kenisha Briggs
• Kelsey Brinkley, COTA/L
• Alan D Brook, M.D.
• Robyn A Brouch, OTR/L
• Stacy R Broussard, M.D.
• Danielle Brown
• Erik Milo Brown, D.C.

• Physical Therapist in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.