Kelly Lynn Brouwer, DPT
Physical Therapist in Plymouth, MN. Individual provider (NPI-1).
NPI number1780915223
StatusActive
Last updated in NPPESMay 20, 2022
Details
- NPI
- 1780915223
- Entity type
- Individual (NPI-1)
- Name
- Kelly Lynn Brouwer
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2010
- Certification date
- May 20, 2022
- Last updated
- May 20, 2022
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 | 9189 | MN | Yes |
Practice location
15010 23rd Ave NPlymouth, MN 55447-4710
Phone 952-521-0055 · Fax 952-521-0056
Mailing address
7581 9th St N Ste 100Oakdale, MN 55128-6635
Phone 651-748-4338
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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All 76 Physical Therapist providers in Plymouth · All 1,953 providers in Plymouth
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