Kelly B Brockey, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

034093 Issued in NY

Practice address

60 Route 25a Ste 2a
Ste B
Setauket, NY 11733-2872

Phone

(631) 246-6072

NPI assigned

Sep 16, 2009

Last updated

Jan 29, 2013By 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

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1871826313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SETALCOTT PL",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117331326",
            "telephone_number": "631-675-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ROUTE 25A STE 2A",
            "address_2": "STE B",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117332872",
            "telephone_number": "631-246-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKEY",
        "first_name": "KELLY",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Borrie Psychological PC
• Roderick Allen Borrie, PH.D.
• Nicole Borzelleca, LMHC
• Patricia Ann Bove, R.N.
• Bridged Research Sharing System LLC (BRSS)
• Rahmin Browning
• Kristina Burgwin
• Michelle Valerie Button, LCSW
• Ricardo Caceda, M.D., PH.D.
• James W Camastra, RN

• Physical Therapist in Setauket, NY
• Providers in Setauket, 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 Jan 29, 2013; 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.