Tabitha Bromagen, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1484 Issued in NE

Practice address

1550 S Coddington Ave Ste C
Lincoln, NE 68522-4402

Phone

(402) 423-0303

NPI assigned

Jun 30, 2019

Last updated

Jun 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coddington Physical Therapy, LLC

  • Physical Therapist
  • Lincoln, NE
  • NPI 1740503739
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561852800000",
    "number": "1063074037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 HACKBERRY ST",
            "city": "BENNET",
            "state": "NE",
            "postal_code": "683172510",
            "telephone_number": "402-304-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S CODDINGTON AVE STE C",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685224402",
            "telephone_number": "402-423-0303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9401 Andermatt Dr",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685269507",
            "country_code": "US",
            "telephone_number": "402-327-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROMAGEN",
        "first_name": "TABITHA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-30",
        "last_updated": "2019-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "1484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Broderson, APRN
• Theresa Michelle Brodeur, PA-C
• Crystal Brodhagen
• Melissa Brogdon
• Dorothy D Brokering, DPT
• Kyleigh Bromen, BCBA
• Dominique Marie Bromwich, PLADC
• Joanne E Bronson, CNM
• Brookhaven Therapy, LLC
• Doretta Janna Brookins

• Physical Therapy Assistant in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Physical Therapy Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.