Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lucy Rose Brockman, PTA

Individual provider Physical Therapy Assistant · NPI 1336490275

Lucy Rose Brockman, PTA is a Physical Therapy Assistant in Freedom, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.

Licensed in
WI
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

N4223 Killarney Ln
Freedom, WI 54130-7168
Phone: (920) 740-1471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 1778-019 (WI)

Record details

NPI number1336490275
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 1, 2012
Last updated in NPPESOctober 1, 2012