MS. KATHRYN ANN BROECKER (NPI# 1720367527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720367527 |
| Entity Type | Individual |
| Full Name | MS. KATHRYN ANN BROECKER |
| Other Name | MISS KATHRYN ANN TUCKER |
| Practice Address |
1257 Marywood Ln Rehabilitation Dept. Richmond VA 23229-6059 |
| Mailing Address |
2508 Dunham Rd Richmond VA 23233-2424 |
| Practice Telephone | 8047410612 |
| Mailing Telephone | 8043608755 |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
2305000801 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | PT LICENSE NUMBER | 2305000801 | 01 |
| Street Address |
1257 MARYWOOD LN REHABILITATION DEPT. |
| City | RICHMOND |
| State | VA |
| Zip Code | 23229-6059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982642633 | Barbara E. Carter | Occupational Therapist | 1257 Marywood Ln, Richmond, VA 23229-6059 | 2006-06-03 |
| 1831639582 | Meghan Ellinghausen | Occupational Therapy Assistant | 1257 Marywood Ln, Richmond, VA 23229-6059 | 2017-02-28 |
| 1841668019 | Rebecca Pack | Physical Therapy Assistant | 1257 Marywood Ln, Richmond, VA 23229-6059 | 2015-09-04 |
| 1215316542 | Debra Ann Wynne | Occupational Therapy Assistant | 1257 Marywood Ln, Richmond, VA 23229-6059 | 2015-05-19 |
| 1790176527 | Sarah Grabill | Physical Therapy Assistant | 1257 Marywood Ln, Richmond, VA 23229-6059 | 2015-02-16 |
| 1710213798 | Kimberly Ruble Breeden | Occupational Therapist | 1257 Marywood Ln, Richmond, VA 23229-6059 | 2009-10-26 |
| 1922131960 | Elizabeth Ann Donovan | Physical Therapy Assistant | 1257 Marywood Ln, Richmond, VA 23229-6059 | 2007-03-13 |
| 1427181353 | Nancy Porter | Occupational Therapist | 1257 Marywood Ln, Richmond, VA 23229-6059 | 2007-03-13 |
| 1821037789 | Dianna Boclair | Physical Therapist | 1257 Marywood Ln, Richmond, VA 23229-6059 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410044 | A&a Hearing Group, LLC | Audiologist-Hearing Aid Fitter | 7601 Forest Ave 311, Richmond, VA 23229 | 2019-08-01 |
| 1174041776 | Amanda Ashby Belding | Speech-Language Pathologist | 901 Maybeury Drive, Richmond, VA 23229 | 2017-09-03 |
| 1861919680 | Stewart Jones Ventures, Incorporated | In Home Supportive Care | 8003 Franklin Farms Dr Rm 113, Richmond, VA 23229 | 2017-08-23 |
| 1093180812 | Chiniqua L Jones | Nurse's Aide | 10 Vintage Dr., #c, Richmond, VA 23229 | 2015-12-04 |
| 1952774416 | Caremore Health Plan | Nurse Practitioner | 8935 Patterson Avenue, Richmond, VA 23229 | 2015-11-05 |
| 1245626894 | William Mauck | Orthopaedic Surgery | 224 Ross Road, Richmond, VA 23229 | 2015-04-10 |
| 1366846305 | Anne Brennan | Nurse Practitioner | 7607 Forest Avenue, Suite 300, Richmond, VA 23229 | 2014-10-20 |
| 1710305966 | Natalie M Dogal | Obstetrics & Gynecology | 7605 Forest Ave Ste 206, Richmond, VA 23229 | 2014-04-04 |
| 1083045405 | Joyce Campbell Wriston | Occupational Therapist | 1503 Michael's Road, Little Sisters of The Poor, Richmond, VA 23229 | 2013-12-11 |
| 1740535780 | Life Journeys Inc | Social Worker | 8413 A Patterson Avenue, Richmond, VA 23229 | 2012-07-16 |
| Find all providers in zip 23229 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902363328 | Ma. Ester Nightingale | Physical Therapist | 18011 Oakwind Ct, Richmond, TX 77407-8531 | 2019-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1023538444 | Kathryn Marie Logsdon | Physical Therapist | 2900 Calcutt Drive, Midlothian, VA 23113 | 2017-06-27 |
| 1215390042 | Debbie Flint | Physical Therapist | 4416 Rockcrest Dr, Fairfax, VA 22032-1820 | 2016-03-30 |
| 1043670425 | Yeorgia Ackles | Physical Therapist | 20127 Hardwood Ter, Ashburn, VA 20147-2754 | 2016-02-29 |
| 1194183913 | Teresa Eileen Datz-kinahan | Physical Therapist | 3020 Summerhurst Dr, Midlothian, VA 23113-2181 | 2016-02-08 |
| 1184000226 | Valeria Paola Niehaus | Physical Therapist | 2029 Lockwood Dr, Charlottesville, VA 22911-5614 | 2015-07-30 |
| 1649659897 | Genaro Pantangco | Physical Therapist | 8447 Hallie Rose St, Alexandria, VA 22309-4516 | 2015-05-20 |
| 1558789321 | Sheryl Finucane | Physical Therapist | 140 Lake Caroline Dr, Ruther Glen, VA 22546-5220 | 2014-03-31 |
| 1548601529 | Whitney C Pelton | Physical Therapist | 5910 Wilson Blvd, Sunrise Bluemont, Arlington, VA 22205 | 2013-07-08 |
| 1598006488 | Ashley Ballentine Mumaw | Physical Therapist | 390 Hill Top Ct, Front Royal, VA 22630-4664 | 2013-03-03 |
| Find all providers with the same taxonomy | ||||
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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.