Individual provider Active NPI

Brocha Gold, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1740815216
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
045663 Issued in NY
Practice address
902 Ocean Pkwy Apt 2C
Brooklyn, NY 11230-3424
Phone
(347) 793-1124
NPI assigned
Mar 5, 2020
Last updated
Mar 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 045663 NY Primary

Addresses

Primary practice location

902 Ocean Pkwy Apt 2C
Brooklyn, NY 11230-3424

Mailing address

902 Ocean Pkwy Apt 2C
Brooklyn, NY 11230-3424
Phone (347) 793-1124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200319001040 NY Practitioner - Physical Therapist in Private Practice 9335577675 Reassigns benefits to 3 organizations
I20231101001387 CT Practitioner - Physical Therapist in Private Practice 9335577675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
W Rehabilitation Associates PT and OT PLLCGroup PAC ID 8426321951, 8 clinicians
Align Motion LLCGroup PAC ID 0143554592, 7 clinicians

Practice addresses (Care Compare)

165 Division Ave
Brooklyn, NY 11211-7105
Phone (718) 253-8000

491 N Main St
Naugatuck, CT 06770-3032
Phone (203) 518-6065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045663NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Associate PT PC CurrentSince Mar 1, 2020 Accepting new patients
CH Rehabilitation Associates PT & OT PLLC Physical Therapist CurrentSince May 4, 2020 Accepting new patients
W Rehabilitation Associates PT & OT PLLC Physical Therapist CurrentSince Nov 10, 2020 Accepting new patients
Align Motion LLC Physical Therapist CurrentSince Sep 27, 2023 Accepting new patients

Locations

491 N Main St
Naugatuck, CT 06770
Phone (203) 518-6065

92 Brookside Rd
Ste 112
Waterbury, CT 06708

165 Division Ave
Brooklyn, NY 11211
Phone (718) 253-8000

425 Kingston Ave
Brooklyn, NY 11225
Phone (718) 616-1450

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1740815216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 OCEAN PKWY APT 2C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303424",
            "telephone_number": "347-793-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 OCEAN PKWY APT 2C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303424",
            "telephone_number": "347-793-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "BROCHA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.