DR. KAELEE SARA BROCKWAY (NPI# 1033611470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033611470 |
| Entity Type | Individual |
| Full Name | DR. KAELEE SARA BROCKWAY |
| Credential | PT, DPT, GCS, CEEAA |
| Practice Address |
1401 Cedar St Ne Grand Rapids MI 49503-1375 |
| Practice Telephone | 6162603871 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1659356061 | 05 |
| Street Address |
1401 CEDAR ST NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-1375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407187685 | Sara Marie Baker | Physical Therapist | 1401 Cedar St Ne, Grand Rapids, MI 49503-1375 | 2010-01-27 |
| 1750934808 | Matthew Rejc | Occupational Therapist | 1401 Cedar St Ne, Grand Rapids, MI 49503-1375 | 2019-07-18 |
| 1912473372 | Kristin Andrea Nabozny | Physical Therapist | 1401 Cedar St Ne, Grand Rapids, MI 49503-1375 | 2018-10-23 |
| 1255835682 | Britt Knapp | Occupational Therapist | 1401 Cedar St Ne, Grand Rapids, MI 49503-1375 | 2018-03-21 |
| 1265936017 | Maria R Phillips | Occupational Therapist | 1401 Cedar St Ne, Grand Rapids, MI 49503-1375 | 2018-03-19 |
| 1285138941 | Helen Mulder | Occupational Therapist | 1401 Cedar St Ne, Grand Rapids, MI 49503-1375 | 2018-03-19 |
| 1932603768 | Elizabeth E Umlor | Physical Therapist | 1401 Cedar St Ne, Grand Rapids, MI 49503-1375 | 2018-03-18 |
| 1730682683 | Michael Hamilton | Physical Therapist | 1401 Cedar St Ne, Grand Rapids, MI 49503-1375 | 2018-03-16 |
| 1487157368 | Rachel O'connell | Physical Therapist | 1401 Cedar St Ne, Grand Rapids, MI 49503-1375 | 2018-03-16 |
| 1710480827 | Pamela Kay O'connor | Physical Therapist | 1401 Cedar St Ne, Grand Rapids, MI 49503-1375 | 2018-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871094474 | Kymiri Lyn Coles | Physical Therapist | 1000 Edison Ave Ne, Grand Rapids, MI 49504 | 2018-02-28 |
| 1235777442 | Vitality At Home | Physical Therapist | 247 Luce St Sw, Grand Rapids, MI 49534-9607 | 2019-12-18 |
| 1184185563 | Jill Coon | Physical Therapist | 1000 Edison Ave Nw, Grand Rapids, MI 49504-3918 | 2019-03-27 |
| 1093218810 | Ashley Nicole Rodriguez | Physical Therapist | 2000 32nd St Se, Grand Rapids, MI 49508-7910 | 2018-03-18 |
| 1639672512 | Marianne Mullins-macritchie | Physical Therapist | 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2018-03-16 |
| 1033611819 | Amber Jean Daman | Physical Therapist | 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2018-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124652763 | Better Care Therapy Services LLC | Physical Therapist | 49872 Alden, Canton, MI 48188-2869 | 2020-02-22 |
| 1184196792 | Alicia Adams | Physical Therapist | 1690 Sweet Grass Dr Se, Caledonia, MI 49316-7309 | 2018-12-20 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1578062329 | Elizabeth Jean Ramey | Physical Therapist | 6567 Elwood Ct N, Allendale, MI 49401-8347 | 2018-02-07 |
| 1689115040 | Bright Life Therapies LLC | Physical Therapist | 7690 Candlewood Dr, Ada, MI 49301 | 2017-03-17 |
| 1356723795 | Elvin Verde | Physical Therapist | 6234 Sunflower Dr, Fennville, MI 49408-7604 | 2015-06-22 |
| 1831586510 | Nirupa Suvarna | Physical Therapist | 2210 Cora St, Apartment Number 8, Wyandotte, MI 48192-4348 | 2015-04-21 |
| 1215324991 | Jais Mathews | Physical Therapist | 44660 Midway Dr, Novi, MI 48375-3953 | 2015-04-21 |
| 1558783134 | Troy Westcott | Physical Therapist | 11655 Superior St, Mohawk, MI 49950-9539 | 2014-01-15 |
| 1174952766 | Beena Mathew | Physical Therapist | 5211, Marsh Road, Okemos Health and Rehabilitation Center, Okemos, MI 48823 | 2013-11-05 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on DR. KAELEE SARA BROCKWAY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.