MARK ROBERT BROADHEAD (NPI# 1154765766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154765766 |
| Entity Type | Individual |
| Full Name | MARK ROBERT BROADHEAD |
| Credential | PT |
| Practice Address |
510 S 14th St Livingston MT 59047-3731 |
| Mailing Address |
165 Smokey Hollow Rd Bozeman MT 59715 |
| Practice Telephone | 4062220672 |
| Mailing Telephone | 4065815709 |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2017-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5784 | MT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710097985 | Mark Broadhead | Psychiatry & Neurology | 401 W 2nd Street, #216, Reno, NV 89503-5345 | 2006-08-30 |
| Street Address |
510 S 14TH ST |
| City | LIVINGSTON |
| State | MT |
| Zip Code | 59047-3731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497703896 | Evergreen At Livingston, L.L.C. | Clinic/Center | 510 S 14th St, Livingston, MT 59047-3731 | 2006-05-05 |
| 1326609025 | Melissa Capocaccia | Speech-Language Pathologist | 510 S 14th St, Livingston, MT 59047-3731 | 2019-06-24 |
| 1235540584 | Erika Suermann | Physical Therapist | 510 S 14th St, Livingston, MT 59047-3731 | 2014-05-08 |
| 1649602467 | Rachael Masner Smith | Physical Therapist | 510 S 14th St, Livingston, MT 59047-3731 | 2013-08-02 |
| 1588933790 | Lisa Calkins Vanderpan | Speech-Language Pathologist | 510 S 14th St, Livingston, MT 59047-3731 | 2011-12-16 |
| 1831365410 | Cynthia Joline Ibes | Occupational Therapist | 510 S 14th St, Livingston, MT 59047-3731 | 2008-05-05 |
| 1013183508 | Lindsey Lesley Anderson | Occupational Therapist | 510 S 14th St, Livingston, MT 59047-3731 | 2008-05-05 |
| 1609042191 | Jill Diane Kordonowy | Occupational Therapy Assistant | 510 S 14th St, Livingston, MT 59047-3731 | 2008-05-05 |
| 1285800771 | Kathryn Kay Jacobsen | Occupational Therapy Assistant | 510 S 14th St, Livingston, MT 59047-3731 | 2008-05-05 |
| 1053587634 | Maria Julie Sieber | Physical Therapist | 510 S 14th St, Livingston, MT 59047-3731 | 2008-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013578343 | Sara Gentry | Social Worker | 126 East Callendar Suite 5, Livingston, MT 59047 | 2019-06-26 |
| 1972099752 | Lisa Talcott LLC | Social Worker | 410 S. 11th St, Livingston, MT 59047 | 2018-07-05 |
| 1326535071 | Christine Evelyn May | Counselor | 320 N Main St Ste 2, Livingston, MT 59047 | 2018-04-18 |
| 1033617469 | Lisa Talcott | Social Worker | 410 S. 11th St., Livingston, MT 59047 | 2018-01-31 |
| 1821492125 | Kim Salloux Lac | Preferred Provider Organization | 109 W Callender Suite 2e, Livingston, MT 59047 | 2014-10-15 |
| 1043657752 | Jamie Lynn Van Zee | Speech-Language Pathologist | 80 West Pine Creek, Livingston, MT 59047 | 2013-06-04 |
| 1598051039 | Emma Taylor Neal | Occupational Therapist | 608 E Milky Way Dr, Livingston, MT 59047 | 2011-06-23 |
| 1063715985 | Jacqueline K Isaly | Counselor | 430 E Park, Livingston, MT 59047 | 2010-12-15 |
| 1063665768 | Danny F. Neill | Hearing Instrument Specialist | 615 W. Park St., Livingston, MT 59047 | 2008-10-28 |
| 1093971376 | Kevin Graham Scott | Dentist | 422 South Main Street, Livingston, MT 59047 | 2008-08-05 |
| Find all providers in zip 59047 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629675913 | Elizabeth Kunder | Physical Therapist | 174 Plum Tree Cir, Livingston, TX 77351-7141 | 2020-10-08 |
| 1528678885 | Michelle Young | Physical Therapist | 159 Paradise Dr Ste 1, Livingston, MT 59047-4114 | 2020-08-03 |
| 1639717168 | Samantha Claire Davey | Physical Therapist | 71 Okner Pkwy, Livingston, NJ 07039-1603 | 2019-12-16 |
| 1811532336 | Kurt Macavinta | Physical Therapist | A Plus Physical Therapy, 600 S. Livingston Ave, Livingston, NJ 07039-0703 | 2019-11-07 |
| 1639712441 | Jillian D Casella | Physical Therapist | 5 Regent St Ste 503, Livingston, NJ 07039-1682 | 2019-10-24 |
| 1780158758 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 555 S Livingston Ave, Livingston, NJ 07039-5410 | 2019-01-14 |
| 1427543412 | Bodypro Physical Therapy, LLC | Physical Therapist | 5 Country Club Ct, Livingston, NJ 07039 | 2018-06-22 |
| 1205365939 | Peak Performance Pt, Pa | Physical Therapist | 209 S Livingston Ave Ste 4, Livingston, NJ 07039-4042 | 2017-06-06 |
| 1407216849 | Sharon Cimbol | Physical Therapist | 16 Sycamore Ter, Livingston, NJ 07039-4618 | 2016-02-27 |
| 1770949752 | Rosemary Ellen Suggs | Physical Therapist | 208 Rainbow Dr # 10856, Livingston, TX 77399-2008 | 2016-01-06 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 59047 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.