Broadbent Rehab LLC
NPI 1477136133ActiveOrganization· Physical Therapist· Springfield, MO
Physical Therapist in Springfield, Missouri, registered in NPPES in April 2021. The authorized official on file is Tim W. Broadbent, MS, PT, Supervising Physical Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1477136133 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 30, 2021 |
| Last updated in NPPES | Apr 30, 2021 |
| Certified by provider | Apr 30, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (MO) |
|---|
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