MRS. TIFFANY C BROECKELMAN (NPI# 1194702498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194702498 |
| Entity Type | Individual |
| Full Name | MRS. TIFFANY C BROECKELMAN |
| Credential | MSPT, CERT MDT |
| Practice Address |
7931 Bond St Lenexa KS 66214-1557 |
| Mailing Address |
6816 W 77th Ter Overland Park KS 66204-3161 |
| Practice Telephone | 9137540888 |
| Practice Fax Number | 9137540891 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2251S0007X |
Physical Therapist Specialization: Sports |
11-02793 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
11-02793 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7931 BOND ST |
| City | LENEXA |
| State | KS |
| Zip Code | 66214-1557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568528420 | Armando W Eisma | Physical Therapist | 7931 Bond St, Lenexa, KS 66214-1557 | 2006-12-28 |
| 1184719635 | Trent J. Foster | Physical Therapist | 7931 Bond St, Lenexa, KS 66214-1557 | 2006-10-03 |
| 1609888486 | Jana L Goolsby | Physical Therapy Assistant | 7931 Bond St, Lenexa, KS 66214-1557 | 2006-08-12 |
| 1225016181 | Dorothy L Cobb | Physical Therapist | 7931 Bond St, Lenexa, KS 66214-1557 | 2006-01-02 |
| 1225015241 | Douglas Wayne Edwards | Specialist/Technologist | 7931 Bond St, Lenexa, KS 66214-1557 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871145532 | Sparkling Fountain of Love Adult Care Homes | Meals | 8525 Switzer Road, Overlandpark, KS 66214 | 2019-07-12 |
| 1295259174 | Chelsea Leigh Nettle | Specialist/Technologist | 9111 Barton, Overland Park, KS 66214 | 2017-08-01 |
| 1548707177 | Rita M Burnett Dds Mobile LLC | Dentist | 8367 Nieman Rd, Lenexa, KS 66214 | 2017-01-20 |
| 1760843346 | Pride Care Medical Equipment and Mobility LLC | Durable Medical Equipment & Medical Supplies | 11759 W 86th Ter, Lenexa, KS 66214 | 2016-03-10 |
| 1861864381 | Melanie Ellsworth | Specialist/Technologist | 10533 Goddard Street, Apt 331, Overland Park, KS 66214 | 2015-10-23 |
| 1043618135 | Heartland Medical, LLC | Pharmacy | 7955 Flint Street, Lenexa, KS 66214 | 2014-12-05 |
| 1912241902 | Laura Elizabeth Ponce | Acupuncturist | 7410 Switzer Rd., Shawnee, KS 66214 | 2012-11-15 |
| 1154563732 | Megan Elizabeth Hutchinson Frazier | Occupational Therapist | 10300 W. 103rd St., Suite 300, Quantum Health Professionals, Overland Park, KS 66214 | 2009-03-30 |
| 1205078151 | Kortney Marie Cuddigan | Occupational Therapist | 10300 West 103rd Street, Suite 300, Overaland Park, KS 66214 | 2009-03-24 |
| 1114174158 | Michelle Renee Neher | Speech-Language Pathologist | 10300 W 103rd Street, Suite 300, Overland Park, KS 66214 | 2008-08-21 |
| Find all providers in zip 66214 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730414970 | Sue A. Klein | Physical Therapist | 11504 W. 135th St., Overland Park, KS 66221 | 2009-10-06 |
| 1578175329 | Lindsay Dawn Findley | Physical Therapist | 9425 Mission Rd, Leawood, KS 66206-2045 | 2020-08-21 |
| 1477197978 | Jacob Allen Dean Mcfarland | Physical Therapist | 11408 W 135th St, Overland Park, KS 66221-9398 | 2019-10-29 |
| 1700263837 | Kristyn J Craigmiles | Physical Therapist | 11670 Wedd St, #10, Overland Park, KS 66210-3108 | 2015-04-27 |
| 1366770828 | Jeremiah Thomas Randall | Physical Therapist | 1336 N Walnut St, Iola, KS 66749-1601 | 2009-11-21 |
| 1699915934 | Salina Regional Health Center, Inc. | Physical Therapist | 501 S Santa Fe, Suite 100, Salina, KS 67401 | 2009-02-26 |
| 1942495072 | Sonia Nadine Duncombe | Physical Therapist | 15100 Metcalf Ave, Suite 102, Overland Park, KS 66223-2899 | 2007-09-11 |
| 1710023353 | Monica Joyce Downs | Physical Therapist | 750 N Socora St, Suite 200, Wichita, KS 67212-3793 | 2007-01-30 |
Please comment or provide details below to improve the information on MRS. TIFFANY C BROECKELMAN.
| 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.