DR. KAELEE SARA BROCKWAY PT, DPT, GCS, CEEAA - NPI 1033611470 - Physical Therapist in Grand Rapids, MI

Q: What is Kaelee Brockway's NPI number?

The NPI number for Kaelee Brockway is 1033611470. It was assigned to this individual provider in the NPPES registry on March 1, 2018.

Q: What is Kaelee Brockway's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Q: When was this NPI record last updated?

The NPPES record for Kaelee Brockway was last updated on March 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Dr. Kaelee Sara Brockway Pt, Dpt, Gcs, Ceeaa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KAELEE SARA BROCKWAY PT, DPT, GCS, CEEAA (NPI 1033611470) is an individual geriatrics provider in Grand Rapids, Michigan and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1033611470

Entity TypeIndividualFemale

Primary Taxonomy2251G0304X

Provider Legal NameDR. KAELEE SARA BROCKWAYCredential: PT, DPT, GCS, CEEAA

Location Address1401 CEDAR ST NEGrand Rapids, MI 49503-1375

Mailing Address1401 Cedar St NeGrand Rapids, MI 49503-1375

Phone(616) 260-3871

Sole ProprietorNo

Enumeration DateMarch 1, 2018

✔ NPI 1033611470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251G0304X

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

1401 CEDAR ST NE, Grand Rapids, MI 49503

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Other Identifiers 1

Medicaid1659356061MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIA JUSTINE DAMMAN PT

Physical Therapist