| Joseph William Brockway, PT | |
|
1021 Mcgraw Marathon Rd, Marathon, NY 13803-2811 | |
| (507) 626-0577 | |
| Not Available |
| Full Name | Joseph William Brockway |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1021 Mcgraw Marathon Rd, Marathon, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588995575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 161 (Alaska) | Secondary |
| 225100000X | Physical Therapist | 8370 (Minnesota) | Secondary |
| 225100000X | Physical Therapist | 040819 (New York) | Primary |
| Provider Name | Brockway Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1841092202 PECOS PAC ID: 2264959188 Enrollment ID: O20250505002292 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph William Brockway, PT 1021 Mcgraw Marathon Rd, Marathon, NY 13803-2811 Ph: (507) 626-0577 | Joseph William Brockway, PT 1021 Mcgraw Marathon Rd, Marathon, NY 13803-2811 Ph: (507) 626-0577 |
Melissa Cross, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 Mcgraw Marathon Rd, Marathon, NY 13803 Phone: 607-345-0730 | |
Brockway Physical Therapy Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1021 Mcgraw Marathon Rd, Marathon, NY 13803 Phone: 507-626-0577 |