National Provider Identifier
Alyssa Nicole Brockmann, OTR/L
Alyssa Nicole Brockmann, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Rochester, NY and a listed phone number of (927) 758-5427.
Profile Overview
- NPI
- 1710601018
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- September 29, 2022
- Last Updated
- September 29, 2022
Practice Location
- 1057 E Henrietta RD Ste 500
- Rochester, NY 14623-2655
Phone: (927) 758-5427
Mailing Address
- 30 Little Briggins Cir
- Fairport, NY 14450-9723
Specialties
- Occupational Therapist (225X00000X)
- Pediatric Occupational Therapist (225XP0200X)
Full Record
- NPI
- 1710601018
- Entity Type
- Individual
- Last Name
- Brockmann
- First Name
- Alyssa
- Middle Name
- Nicole
- Credential
- OTR/L
- Mailing Street Address
- 30 Little Briggins Cir
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-9723
- Mailing Country
- US
- Mailing Phone
- (585) 489-6166
- Practice Street Address
- 1057 E Henrietta RD Ste 500
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-2655
- Practice Country
- US
- Practice Phone
- (927) 758-5427
- Enumeration Date
- September 29, 2022
- Last Updated
- September 29, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 29, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X), Pediatric Occupational Therapist (225XP0200X)