COLLEEN M BROUGH (NPI# 1831704469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831704469 |
| Entity Type | Individual |
| Full Name | COLLEEN M BROUGH |
| Credential | PT, DPT |
| Practice Address |
710 W 168th St Ste 336 New York NY 10032-3726 |
| Mailing Address |
39 Devonshire Ct Middletown NJ 07748-1815 |
| Practice Telephone | 9175380199 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
072269 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
710 W 168TH ST STE 336 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-3726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203624 | James Koo | Physical Therapist | 333 E 38th St Rm 5-201, New York, NY 10016-2772 | 2020-01-06 |
| 1972142446 | Marco A Campello | Physical Therapist | 63 Downing Street, New York, NY 10014 | 2020-01-02 |
| 1821637653 | Tyler J Kenton Dpt Pllc | Physical Therapist | 1 Union Sq W Bsmt Level, New York, NY 10003-3303 | 2019-12-26 |
| 1497212815 | Thom Walsh | Physical Therapist | 250 W 26th St Rm 402, New York, NY 10001-6737 | 2019-02-21 |
| 1134684376 | Bishoy Wagih Youssef | Physical Therapist | One Central Park South, Level A, New York, NY 10019-1732 | 2019-02-01 |
| 1699245274 | Anne Michelle Dearwater | Physical Therapist | 36 W44th Street Suite 403, New York, NY 10036 | 2018-11-27 |
| 1578032348 | Ryan James Coye | Physical Therapist | 1 Central Park South, Level A, La Palestra, New York, NY 10019 | 2018-11-21 |
| 1659846277 | Gary Heller | Physical Therapist | 57 W 5th Street, New York, NY 10019 | 2018-10-10 |
| 1407331044 | Teresa Iodice-dadin | Physical Therapist | 333 1st Ave, New York, NY 10003-2914 | 2018-09-29 |
| 1598249252 | Tyler Joseph Kenton | Physical Therapist | 1 Union Sq W Bsmt, New York, NY 10003-3303 | 2018-09-19 |
| Find all providers in NEW YORK | ||||
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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.