Kelly C Brothers, DPT
Physical Therapist in Venice, FL. Individual provider (NPI-1).
NPI number1700445293
StatusActive
Last updated in NPPESDec 5, 2019
Details
- NPI
- 1700445293
- Entity type
- Individual (NPI-1)
- Name
- Kelly C Brothers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2019
- Last updated
- Dec 5, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT35015 | FL | Yes |
Practice location
834 Pinebrook RdVenice, FL 34285-7123
Phone 941-484-8107 · Fax 941-484-5186
Mailing address
834 Pinebrook RdVenice, FL 34285-7123
Phone 941-484-8107 · Fax 941-484-5186
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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