Daniel Brocker, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

011965 Issued in NY

Practice address

597 3Rd Ave
Troy, NY 12182-2509

Phone

(518) 233-0544

NPI assigned

Feb 21, 2007

Sex

Male

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

State licenses

Practice roles

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.

• Capital District Beginnings, Inc.

  • Early Intervention Provider Agency
  • Troy, NY
  • NPI 1013193192
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1760527436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SCHAUBER RD",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120192106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 3RD AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121822509",
            "telephone_number": "518-233-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKER",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucas David Bridgeman, CNIM
• Jadzia Miranda Briggs, BA AND MA SPECIAL ED
• Rachelle Brilliant, DO
• Monique Prestige Britton
• Kayla N Brizzell
• Ashley Broda, PT
• Angelina Marie Broga, PA
• Joanne R Bronk, RPH
• Andrew Davison Brooks, RN
• Brookside Counseling Associates

• Physical Therapist in Troy, NY
• Providers in Troy, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.