Kelly C Brothers, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT35015 Issued in FL

Practice address

834 Pinebrook Rd
Venice, FL 34285-7123

Phone

(941) 484-8107

Fax

(941) 484-5186

NPI assigned

Jun 10, 2019

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 FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agility Physical Therapy and Sports Performance, LLCGroup PAC ID 3476684069, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

• Agility Physical Therapy & Sports Performance, LLC

  • Physical Therapist
  • Venice, FL
  • NPI 1154640027
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1700445293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 PINEBROOK RD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857123",
            "telephone_number": "941-484-8107",
            "fax_number": "941-484-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 PINEBROOK RD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857123",
            "telephone_number": "941-484-8107",
            "fax_number": "941-484-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTHERS",
        "first_name": "KELLY",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian T Briggs, MD
• Kimberly Louise Brimlow, COTA/L
• Lauren Mikel Broadway, M.D.
• Alexander Moore Brocato, OD
• Michael Broder, O.D.
• Cassandra Davis Brower
• Richard Allen Brown, RPH
• Robin Carmencita Brown, OTR/L
• Broy Enterprises Inc.
• Elizabeth Maria Bruer

• Physical Therapist in Venice, FL
• Providers in Venice, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.