Kellee Ann Brudos-Nockels, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7042 Issued in CO

Practice address

19039 W. 88TH Drive
Arvada, CO 80007-7302

Phone

(720) 232-8443

Fax

(303) 467-2866

NPI assigned

Feb 21, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Synergy Therapy Services

  • Pediatric Physical Therapist
  • Arvada, CO
  • NPI 1265170278
  NPD Authorized official

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

{
    "created_epoch": "1235174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1932349552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19039 W. 88TH DRIVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800077302",
            "telephone_number": "720-232-8443",
            "fax_number": "303-467-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19039 W. 88TH DRIVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800077302",
            "telephone_number": "720-232-8443",
            "fax_number": "303-467-2866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12043 W 71st Ave",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800041201",
            "country_code": "US",
            "telephone_number": "303-467-2866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUDOS-NOCKELS",
        "first_name": "KELLEE",
        "middle_name": "ANN",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-21",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47050560",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcia Blalock Brown, LCSW
• Sara Brown, MA, LPCC
• Theresa Brown
• Kristen Zawada Brownson, D.C.
• Jordan Brudos-Nockels, MT-BC
• Diane Brunsdon-Jones, PT
• Bryan P. Savage, DDS PC
• Mindy Bryant
• Katie Brydon, LCSW, LAC,MAC
• Deborah Bryon, PH.D.

• Physical Therapist in Arvada, CO
• Providers in Arvada, CO by specialty
• Physical Therapist in Colorado

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