MICHAEL BROCKWAY (NPI# 1336339365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336339365 |
| Entity Type | Individual |
| Full Name | MICHAEL BROCKWAY |
| Practice Address |
313 S 9th Ave Yakima WA 98902-3516 |
| Practice Telephone | 5092488040 |
| Practice Fax Number | 5092488709 |
| Mailing Telephone | 5092488040 |
| Mailing Fax Number | 5092488709 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2013-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | OI 00000188 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224P00000X | Prosthetist | PS 00000189 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9045675 | 05 | |
| WA | 8418956 | 05 |
| Street Address |
313 S 9TH AVE |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-3516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477539997 | Yakima Orthotics and Prosthetics, PC | Prosthetic/Orthotic Supplier | 313 S 9th Ave, Yakima, WA 98902-3516 | 2005-12-16 |
| 1154858363 | Enoch Heileson | Orthotist | 313 S 9th Ave, Yakima, WA 98902-3516 | 2017-05-18 |
| 1740519305 | Christopher Becker | Orthotist | 313 S 9th Ave, Yakima, WA 98902-3516 | 2009-12-10 |
| 1942490982 | Tamara Carswell | Orthotist | 313 S 9th Ave, Yakima, WA 98902-3516 | 2007-07-26 |
| 1770783060 | Larry Jensen | Orthotist | 313 S 9th Ave, Yakima, WA 98902-3516 | 2007-07-24 |
| 1740480037 | Ross Workman | Orthotist | 313 S 9th Ave, Yakima, WA 98902-3516 | 2007-07-24 |
| 1245437326 | Yakima Orthotics & Prosthetics, PC | Prosthetic/Orthotic Supplier | 313 S 9th Ave, Yakima, WA 98902-3516 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653203 | Laboratory Corporation of America | Clinical Medical Laboratory | 314 S 11th Ave Suite A, Yakima, WA 98902 | 2019-08-05 |
| 1669967865 | Rebecca Schrader | Speech-Language Pathologist | Children's Village 3801 Kern Road, Yakima, WA 98902 | 2018-06-29 |
| 1720572928 | Hyperbaric Centers of Washington | Preventive Medicine | 302 S. 12th Ave., Yakima, WA 98902 | 2018-06-20 |
| 1487155503 | Courtney Lombardi | Nurse Practitioner | 1515 W Yakima Ave, Yakima, WA 98902 | 2018-02-23 |
| 1003329665 | Maria-elena Mendoza | Case Manager/Care Coordinator | 918 E Mead Avenue, Yakima, WA 98902 | 2017-11-06 |
| 1679017610 | Claudia Zepeda | Massage Therapist | 3908 Creekside Loop Ste # 110, Yakima, WA 98902 | 2016-12-09 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| 1821490905 | Jen Lynn Silver | Massage Therapist | 3512 Tieton Dr, Yakima, WA 98902 | 2014-09-20 |
| 1194131383 | Brenna Claire Hayes | Genetic Counselor, MS | 2903 W Walnut, Yakima, WA 98902 | 2014-07-08 |
| 1720400435 | Agnes Nadine Jeske | Speech-Language Pathologist | 621 S. 13th Ave., Mckinley Elementary School, Yakima, WA 98902 | 2014-01-15 |
| Find all providers in zip 98902 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043785777 | Natalie Kirsten Harold | Prosthetist | 123 2nd Ave S Ste 200, Edmonds, WA 98020-8449 | 2018-10-09 |
| 1497129092 | Stevie Stephens | Prosthetist | 723 Mlk Jr Way, Tacoma, WA 98405 | 2015-11-19 |
| 1427243468 | Andrew J Lind | Prosthetist | 401 S Sherman St, Spokane, WA 99202-6001 | 2007-09-12 |
| 1508057845 | David M Kelly | Prosthetist | 1900 116th Ave Ne Ste 201, Bellevue, WA 98004-3013 | 2007-08-01 |
| 1093891616 | Virginias Feminine Boutique, LLC | Prosthetist | 3627 152nd St Ne, Marysville, WA 98271-8944 | 2006-10-27 |
| 1912081860 | American Artificial Limb Co | Prosthetist | 650 S Orcas St, Suite 100, Seattle, WA 98108-2654 | 2006-10-25 |
| 1487631586 | Michael Philip Podrasky | Prosthetist | 1420 4th St Se, Ste D, Puyallup, WA 98372 | 2005-12-29 |
| 1891394086 | Janae Christine Buchan | Prosthetist | 2621 Ne 134th St Ste 120, Vancouver, WA 98686-3036 | 2020-10-20 |
| 1164020426 | Sarah Mccarthy Cheever | Prosthetist | 4575 Sand Point Way Ne, Seattle, WA 98105-3950 | 2020-10-09 |
| 1720612450 | Sean C Hails | Prosthetist | 1901 S Cedar St Ste 202, Tacoma, WA 98405-2303 | 2020-03-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MICHAEL BROCKWAY.
| 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.