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Thomas Broback

Physical Therapist - Orthopedic

14382 60th St N
Stillwater , Minnesota 55082-6311

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Thomas Broback

Physical Therapist - Orthopedic

14382 60th St N
Stillwater , Minnesota 55082-6311

(651) 395-1352

Write a Review Save Call

Thomas Broback

Physical Therapist - Orthopedic

14382 60th St N
Stillwater , Minnesota 55082-6311

(651) 395-1352 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Physical Therapist - Orthopedic

Languages spoken

  • English

Location

14382 60th St N Stillwater , Minnesota 55082-6311

First Address

  • Thomas Broback
  • 4281 143rd St W
  • Rosemount, MN
  • Zip : 55068-3671
  • Phone : (651) 395-1352

Second Address

  • Thomas Broback
  • 14382 60th St N
  • Stillwater, MN
  • Zip : 55082-6311
  • Phone : (651) 342-0509

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FAQs


Where did Thomas Broback attend graduate school?

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Where did Thomas Broback do his residency?

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Where did Thomas Broback do his fellowship?

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Is Thomas Broback board certified?

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What type of doctor is Thomas Broback

Physical Therapist - Orthopedic

In what state does Thomas Broback practice in?

Minnesota

Where is Thomas Broback ’s practice located?

14382 60th St N , Stillwater, Minnesota, 55082-6311

What is Thomas Broback ’s gender?

Male

Is Thomas Broback a sole practitioner?

No

Is Thomas Broback accepting new patients?

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What languages does Thomas Broback speak?

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Does Thomas Broback accept insurance?

Yes, Thomas Broback accepts insurance

Does Thomas Broback offers telemedicine?

Thomas Broback has not indicated if he offers telemedicine

What is Thomas Broback ’s professional license number?

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What is Thomas Broback ’s NPI number?

1063930493

Does Thomas Broback have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2251X0800X Physical Therapist - Orthopedic 10800 MN

National Provider Identifier

NPI 1063930493
Provider Name Thomas Broback
First Address Rosemount, MN 55068-3671
Second Address Stillwater, MN 55082-6311
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 06/09/2017
Last Update Date 20/02/2020

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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