CATIE BROECKER (NPI# 1629413836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629413836 |
| Entity Type | Individual |
| Full Name | CATIE BROECKER |
| Credential | PT, DPT |
| Practice Address |
2506 Cranbrook Ln Unit 5 Charlotte NC 28207-2036 |
| Practice Telephone | 4196057980 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2014-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
14192 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2506 CRANBROOK LN UNIT 5 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| Find all providers in zip 28207 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316401862 | Shine Therapy LLC | Physical Therapist | 1140 Turnbridge Rd, Charlotte, NC 28226-5862 | 2019-01-29 |
| 1275048514 | Hpfs Therapy | Physical Therapist | 8133 Ardrey Kell Rd Ste 104, Charlotte, NC 28277-5723 | 2017-12-08 |
| 1487179578 | Hannah E Josephson | Physical Therapist | 9129 Monroe Rd Ste 100, Charlotte, NC 28270-2454 | 2017-08-09 |
| 1821464728 | Rebecca Chain | Physical Therapist | 1930 Thurmond Pl, Charlotte, NC 28205-3039 | 2015-08-13 |
| 1013317015 | Tamara J Heath | Physical Therapist | 7519 Bedfordshire Dr, Charlotte, NC 28226-7519 | 2014-08-26 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1225321151 | Deborah L. Miller | Physical Therapist | 8400 Strawberry Ln, Charlotte, NC 28277-4544 | 2011-05-25 |
| 1972809903 | Carolina Access Support & Enrichment Services Inc | Physical Therapist | 5108 Reagan Dr, Suite 10, Charlotte, NC 28206-3103 | 2011-02-09 |
| 1437308483 | Diane O Jackson-szymczyk | Physical Therapist | 2425 Lynbridge Dr, Charlotte, NC 28270-7774 | 2008-09-15 |
| 1255512497 | Angela Balzotti Regner | Physical Therapist | 4732 Cottage Oaks Dr, Charlotte, NC 28269-1456 | 2007-11-15 |
| Find all providers in CHARLOTTE | ||||
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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.