MR. ROBERT DEAN BROADHEAD JR.


Address: 10815 Ranch Road 2222 Bldg 3b, Austin, TX 78730-1159
Phone: 5125535380

MR. ROBERT DEAN BROADHEAD JR. (NPI# 1710530639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710530639
Entity Type Individual
Full Name MR. ROBERT DEAN BROADHEAD JR.
Credential RT, MSRLS, CTRS, TRS
Practice Address 10815 Ranch Road 2222 Bldg 3b
Austin
TX 78730-1159
Mailing Address 2110 Ranch Road 620 S Unit 341225
Lakeway
TX 78734-0250
Practice Telephone 5125535380
Practice Fax Number 5125535380
Mailing Telephone 5125535380
Mailing Fax Number 5125329573
Enumeration Date 2019-07-19
Last Update Date 2020-10-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 225400000X Rehabilitation Practitioner 1463 TX Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 225800000X Recreation Therapist 82138 Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 174H00000X Health Educator Other Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1101 S Quinlan Park Rd, Austin, TX 787326074 5124688774

Office Location

Street Address 10815 RANCH ROAD 2222 BLDG 3B
City AUSTIN
State TX
Zip Code 78730-1159

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801421482 Andbro Enterprises LLC Community/Behavioral Health 10815 Ranch Road 2222 Bldg 3b, Austin, TX 78730-1159 2020-03-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487295374 Amaris Nicole Garza Dietitian, Registered 10301 Ranch To Market 2222, Apt #738, Austin, TX 78730 2019-10-02
1366093130 Kotobi & Associates, LLC In Home Supportive Care 6101 W Courtyard Drive, Bldg 1, Suite 150, Austin, TX 78730 2019-09-24
1831653955 Esther Wooten Nurse Practitioner 6500 River Place, Suite 102, Austin, TX 78730 2019-01-23
1629336243 Yuri Alexander Lawrence Internal Medicine 7300 Ranch Road 2222, Austin, TX 78730 2012-05-02
1386914612 Robin Marie Mccray Choban Han Clinical Nurse Specialist 6611 River Place Blvd Ste 203, Austin, TX 78730 2012-01-03
1437397106 Collins Endodontics, PC Dentist 7300 Fm 2222, Building V, Suite 212, Austin, TX 78730 2009-02-03
1043471360 Nadia Abboud Bening Psychiatry & Neurology 6611 Riverplace Blvd., Austin, TX 78730 2008-06-19
1740469089 Healthy Achievers, Inc. Nursing Care 6300 Bridgepoint Parkway, Building 3, Suite 500, Austin, TX 78730 2007-11-02
1104948041 Jack C. Tips Nutritionist 9419 Westminster Glen, Austin, TX 78730 2007-04-04
1407970841 Us Radiology Partners of Texas Inc Radiology 3704 Lagood St, Austin, TX 78730 2007-03-19
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Taxonomy Information

Taxonomy Code 225800000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Recreation Therapist

Taxonomy Definition

A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881202240 Brittany Danielle Lundeen Recreation Therapist 10320 Boulder Ln Apt 1317, Austin, TX 78726-1865 2020-07-21
1467066035 Dara J Wise Recreation Therapist 5900 Balcones Dr, Austin, TX 78731-4257 2020-09-01
1134699226 Christi L Zwicke Recreation Therapist 8601 Anderson Mill Rd, Austin, TX 78729-4700 2018-11-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609480250 Shanteria Onyemem Recreation Therapist 3811 Glade Hill Ln, Richmond, TX 77407-3244 2020-09-01
1730790387 Joan R Lamayo-buse Recreation Therapist 1853 Yount Cir, San Antonio, TX 78236-1007 2020-08-16
1750905816 Ideal Recreational Therapies Recreation Therapist 19800 Kenswick Dr Apt 823, Humble, TX 77338-2159 2020-06-04
1184247645 Joel Stephen Caltrider Recreation Therapist 3354 Putnam Flds, Converse, TX 78109-3808 2020-05-19
1396367405 Caressa Blackman Recreation Therapist 5810 Utsa Blvd Apt 4202, San Antonio, TX 78249-4094 2020-05-12
1740801331 Jasmine Mathew Recreation Therapist 15820 Christopher Lane, Frisco, TX 75035 2020-05-05
1083246862 Meghan Elizabeth Scott Recreation Therapist 110 Contour Dr, Kerrville, TX 78028-6202 2020-02-10
1972135168 Amanda Petri Recreation Therapist 1978 Kalli Jo Ln, New Braunfels, TX 78130-1960 2020-02-06
1346871969 Requel Pace Recreation Therapist 4830 Wilson Rd Ste 300-1027, Humble, TX 77396-1971 2020-02-01
1881224277 Tinyada Robinson Recreation Therapist 1777 Ne Interstate 410 Loop, Ste 1009, San Antonio, TX 78217 2020-01-24
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Competitor

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City AUSTIN
Zip Code 78730

Improve Information

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Dataset Information

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.

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