THOMAS BROBACK (NPI# 1063930493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063930493 |
| Entity Type | Individual |
| Full Name | THOMAS BROBACK |
| Credential | DPT, CSCS |
| Practice Address |
14382 60th St N Stillwater MN 55082-6311 |
| Mailing Address |
4281 143rd St W Rosemount MN 55068-3671 |
| Practice Telephone | 6513420509 |
| Mailing Telephone | 6513951352 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2020-02-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
10800 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
14382 60TH ST N |
| City | STILLWATER |
| State | MN |
| Zip Code | 55082-6311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
| 1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
| 1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
| 1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
| 1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
| 1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| Find all providers in zip 55082 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960718 | Ryoki Aoki | Physical Therapist | 2270 N Perkins Rd # 245, Stillwater, OK 74075-3078 | 2020-07-23 |
| 1114289782 | Megan Elizabeth Ripley | Physical Therapist | 511 Windsor Dr, Stillwater, OK 74074-6962 | 2012-06-11 |
| 1669748620 | Rhonda J Kimler | Physical Therapist | 1950 Curve Crest Blvd W Ste 100, Stillwater, MN 55082-6062 | 2012-03-23 |
| 1659355493 | Joe A. Ogle | Physical Therapist | 511 Windsor Dr, Stillwater, OK 74074-6962 | 2005-12-05 |
| 1942284021 | Kenneth W. Roberts | Physical Therapist | 511 Windsor Dr, Stillwater, OK 74074-6962 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134667686 | Tiffany Moriarity | Physical Therapist | 13690 Rogers Dr Ste 180, Rogers, MN 55374-9309 | 2017-02-04 |
| 1437603016 | Mark Deschepper | Physical Therapist | 1600 University Ave W # 10, Saint Paul, MN 55104-3898 | 2016-08-11 |
| 1750757522 | Caleb Vizina | Physical Therapist | 1116 County Road 6 Sw, Howard Lake, MN 55349 | 2015-08-17 |
| 1467867010 | Andrea Price | Physical Therapist | 5775 Wayzata Blvd Ste 900, Saint Louis Park, MN 55416-2674 | 2014-06-23 |
| 1124431481 | John E Amundson | Physical Therapist | 410 30th Ave E Ste 102, Alexandria, MN 56308-4770 | 2014-06-04 |
| 1285975078 | Jacob Allen Wendland | Physical Therapist | 1304 W Lincoln Ave Ste C, Fergus Falls, MN 56537-4818 | 2013-03-05 |
| 1740524867 | Lisa Zeman | Physical Therapist | 8900 109th Ave N Ste 700, Champlin, MN 55316-3150 | 2012-11-15 |
| 1326309709 | Jacob Kretschmar | Physical Therapist | 13274 53rd St Ne, Spicer, MN 56288-9437 | 2012-06-02 |
| 1225279516 | Patricia F Knecht | Physical Therapist | 1560 Beam Ave Ste D, Maplewood, MN 55109-1171 | 2009-03-16 |
| 1518122456 | Elizabeth C Lostetter | Physical Therapist | 731 Bielenberg Dr Ste 107, Woodbury, MN 55125-1701 | 2008-07-21 |
| Find all providers with the same taxonomy | ||||
| City | STILLWATER |
| Zip Code | 55082 |
Please comment or provide details below to improve the information on THOMAS BROBACK.
| 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.