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Jordan Robert Brocker

Physical Therapist Physical Therapist - Sports Physical Therapist - Orthopedic

15410 S Mountain Pkwy #112
Phoenix , Arizona 85044-6691

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Jordan Robert Brocker

Physical Therapist Physical Therapist - Sports Physical Therapist - Orthopedic

15410 S Mountain Pkwy #112
Phoenix , Arizona 85044-6691

(480) 706-7409

Write a Review Save Call

Jordan Robert Brocker

Physical Therapist Physical Therapist - Sports Physical Therapist - Orthopedic

15410 S Mountain Pkwy #112
Phoenix , Arizona 85044-6691

(480) 706-7409 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Physical Therapist
  • Physical Therapist - Sports
  • Physical Therapist - Orthopedic

Languages spoken

  • English

Location

15410 S Mountain Pkwy #112 Phoenix , Arizona 85044-6691

First Address

  • Jordan Robert Brocker
  • 4715 N 32nd St #108
  • Phoenix, AZ
  • Zip : 85018-3300
  • Fax : (480) 706-7409
  • Phone : (480) 689-5520

Second Address

  • Jordan Robert Brocker
  • 15410 S Mountain Pkwy #112
  • Phoenix, AZ
  • Zip : 85044-6691
  • Fax : (480) 706-7409
  • Phone : (480) 706-1161

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FAQs


Where did Jordan Robert Brocker attend graduate school?

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Where did Jordan Robert Brocker do his residency?

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Where did Jordan Robert Brocker do his fellowship?

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Is Jordan Robert Brocker board certified?

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What type of doctor is Jordan Robert Brocker

Physical Therapist

In what state does Jordan Robert Brocker practice in?

Arizona

Where is Jordan Robert Brocker ’s practice located?

15410 S Mountain Pkwy #112 , Phoenix, Arizona, 85044-6691

What is Jordan Robert Brocker ’s gender?

Male

Is Jordan Robert Brocker a sole practitioner?

No

Is Jordan Robert Brocker accepting new patients?

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What languages does Jordan Robert Brocker speak?

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Does Jordan Robert Brocker accept insurance?

Yes, Jordan Robert Brocker accepts insurance

Does Jordan Robert Brocker offers telemedicine?

Jordan Robert Brocker has not indicated if he offers telemedicine

What is Jordan Robert Brocker ’s professional license number?

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What is Jordan Robert Brocker ’s NPI number?

1538508171

Does Jordan Robert Brocker have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 225100000X Physical Therapist 10308 AZ
N 2251S0007X Physical Therapist - Sports
N 2251X0800X Physical Therapist - Orthopedic

National Provider Identifier

NPI 1538508171
Provider Name Jordan Robert Brocker
First Address Phoenix, AZ 85018-3300
Second Address Phoenix, AZ 85044-6691
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 17/06/2013
Last Update Date 08/08/2013

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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