Brossy-Waterworks PC
NPI 1912541889ActiveOrganization· Physical Therapist· Dearborn, MI
Physical Therapist in Dearborn, Michigan, registered in NPPES in November 2019. The authorized official on file is Kelley Brossy, DO, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1912541889 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 4, 2019 |
| Last updated in NPPES | Nov 4, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Orthopaedic Surgery | 207X00000X | — | — |
| Orthopaedic Surgery, Sports Medicine | 207XX0005X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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