MR. EDWARD RICHARD BROAD (NPI# 1235152117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235152117 |
| Entity Type | Individual |
| Full Name | MR. EDWARD RICHARD BROAD |
| Credential | MPT |
| Practice Address |
611 W Brown St #101 Wylie TX 75098 |
| Practice Telephone | 9724425287 |
| Practice Fax Number | 9724423181 |
| Mailing Telephone | 9724425287 |
| Mailing Fax Number | 9724423181 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 1152490 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RAILROAD GRP | DD3715 | 01 | |
| BCBS GRP | 0021MG | 01 | |
| MEDICARE RAILROAD IND | P00223957 | 01 | |
| BCBS IND | 8T3999 | 01 |
| Street Address |
611 W BROWN ST #101 |
| City | WYLIE |
| State | TX |
| Zip Code | 75098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699225011 | Erin Nicole Roesch | Physical Therapist | 611 W Brown St, Ste 101, Wylie, TX 75098-5316 | 2016-10-10 |
| 1497139745 | Taylor Koren | Dentist | 611 W Brown St, Ste 100, Wylie, TX 75098-5316 | 2015-07-16 |
| 1861887069 | Peak Physical Therapy, LLC | Occupational Therapist | 611 W Brown St, Suite 101, Wylie, TX 75098-5316 | 2015-04-03 |
| 1497187371 | Christopher M G'sell | Dentist | 611 W Brown St, Suite 100, Wylie, TX 75098-5316 | 2013-08-02 |
| 1831305903 | Charles David Stetler | Dentist | 611 W Brown St, Suite 100, Wylie, TX 75098-5387 | 2007-05-15 |
| 1326153321 | Stetler & Stampe Dental Partnership | Dentist | 611 W Brown St, Suite 100, Wylie, TX 75098-5387 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851926182 | Ashley Michelle Akers | Counselor | 303 Tx-78, #100, Wylie, TX 75098 | 2020-03-06 |
| 1033742762 | Neuro Care LLC | Psychiatry & Neurology | 801 S Tx- 78, Wylie, TX 75098 | 2020-02-21 |
| 1720623515 | Dentalhub of Wylie | Clinic/Center | 3483 W.fm 544, Unit- 112, Wylie, TX 75098 | 2019-11-15 |
| 1780144147 | Rxcare Pharmacy, LLC | Pharmacy | 209 N Ballard Ave, Wylie, TX 75098 | 2019-03-21 |
| 1659830081 | Bv Dental, Pllc | Clinic/Center | 330 S. State Highway 78, Suite 200, Wylie, TX 75098 | 2019-03-15 |
| 1407329352 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 8516 Parker Rd E., Wylie, TX 75098 | 2019-01-03 |
| 1396215620 | Lilian Abagwe | Nurse Practitioner | 1108 Ann Dr, Wylie, Wylie, TX 75098 | 2018-11-29 |
| 1114408507 | Stephen Clayton Heath | Occupational Therapy Assistant | 721 Tx-78, Wylie, TX 75098 | 2018-08-24 |
| 1831677400 | Melody Lea Stoker | Physical Therapy Assistant | 3400 Mcmillen Rd Apt 1028, Wylie, TX 75098 | 2018-08-05 |
| 1619465234 | Olufemi Fadahunsi, Dds, PC | Dentist | 2810 W. Fm544, Suite 100, Wylie, TX 75098 | 2018-04-30 |
| Find all providers in zip 75098 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811525801 | Chandrika Baskaran | Physical Therapist | 3016 Reagenea Dr, Wylie, TX 75098-8914 | 2020-03-27 |
| 1104487511 | Diego Ortiz | Physical Therapist | 426 Ashland Dr, Wylie, TX 75098-6918 | 2019-06-26 |
| 1477954964 | Rebecca Claire Senizaiz | Physical Therapist | 218 Champion Dr, Wylie, TX 75098-4640 | 2014-09-16 |
| 1902146152 | Pediatric and Sports Physical Therapy Pllc | Physical Therapist | 211 Regency Drive, Ste 200, Wylie, TX 75098-7011 | 2013-02-26 |
| 1699015990 | Pediatric and Sports Physical Therapy Pllc | Physical Therapist | 211 Regency Dr, Suite 200, Wylie, TX 75098 | 2013-02-22 |
| 1447523097 | Aqeel Iqbal Salim | Physical Therapist | 600 Cooper Dr Ste 130, Wylie, TX 75098-3969 | 2012-02-13 |
| 1609050160 | Steen Chiropractic and Physical Therapy, Pllc | Physical Therapist | 520 W Brown St Ste D, Wylie, TX 75098-5398 | 2007-12-19 |
| 1275688822 | Christina Marie Wentz | Physical Therapist | 3800 Troy Rd, Wylie, TX 75098-6544 | 2007-01-24 |
| 1932131455 | Peak Physical Therapy & Sports Medicine of Wylie | Physical Therapist | 611 W Brown St Ste 101, Wylie, TX 75098-5816 | 2006-07-07 |
| 1952303406 | Anthony Glen Davison | Physical Therapist | 2901 W Fm 544, Suite 140, Wylie, TX 75098-7049 | 2005-08-15 |
| Find all providers in WYLIE | ||||
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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.