Individual provider Active NPI

Bradley Robert Rocklein, P.T.

  • Physical Therapist
  • Delmar, NY
National Provider Identifier
1912220757
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
016247-1 Issued in NY
Practice address
163 Delaware Ave
Suite 101
Delmar, NY 12054-1313
Phone
(518) 928-8103
NPI assigned
Mar 8, 2010
Last updated
Mar 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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 016247-1 NY Primary

Addresses

Primary practice location

163 Delaware Ave
Suite 101
Delmar, NY 12054-1313

Mailing address

163 Delaware Ave
Suite 101
Delmar, NY 12054-1313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100823000975 NY Practitioner - Physical Therapist in Private Practice 2163546458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Columbia University College of Physicians and Surgeons, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocklein Physical Therapy, PLLCGroup PAC ID 5991829285, 2 clinicians

Practice addresses (Care Compare)

163 Delaware Ave
Suite 101
Delmar, NY 12054-1313
Phone (518) 915-1890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016247-1NYMDSpeech-Language Pathologist
16247NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rocklein Physical Therapy, PLLC CurrentSince May 1, 2010 Accepting new patients
Columbia Physical Therapy PC Physical Therapist PastSince Jun 1, 2007 Accepting new patients

Locations

163 Delaware Ave
Ste 101
Delmar, NY 12054
Phone (518) 915-1890

Organizations & group practices 2

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": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1912220757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 DELAWARE AVE",
            "address_2": "SUITE 101",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 DELAWARE AVE",
            "address_2": "SUITE 101",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541313",
            "telephone_number": "518-928-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKLEIN",
        "first_name": "BRADLEY",
        "middle_name": "ROBERT",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016247-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmar, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.