Active NPI
Kristen Marie Brong, OTR/L
- Occupational Therapist
- West Melbourne, FL
National Provider Identifier
1437384641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13514
- Practice address
- 7201 Greenboro Dr
West Melbourne, FL 32904-1698 - Phone
- (407) 727-0990
- NPI assigned
- May 18, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 13514 | FL | Primary |
Addresses
Primary practice location
7201 Greenboro Dr
West Melbourne, FL 32904-1698
Mailing address
4802 Sauvignon PL
Rockledge, FL 32955-5185
Phone (321) 632-2511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13514 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242604800000",
"number": "1437384641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4802 SAUVIGNON PL",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329555185",
"telephone_number": "321-632-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7201 GREENBORO DR",
"city": "WEST MELBOURNE",
"state": "FL",
"postal_code": "329041698",
"telephone_number": "407-727-0990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRONG",
"first_name": "KRISTEN",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-18",
"last_updated": "2009-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "13514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Melbourne, FL
- Prodromos Gordon Borboroglu, M.D.
- Bradley J E Clow D C P a
- Mark Winter Bradley, L.M.T.
- Kimberly Ann Bray, BCBA
- Bridge the Gap Speech Language Services LLC
- Brookdale Senior Living Communities, Inc.
- Brookdale Senior Living Communities, Inc.
- Brookdale Senior Living Communities, Inc.
- Kimberly Brubaker, PHARMD
- Sandy Lee Bryant, CNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.