Tiffany C Broeckelman, MSPT, CERT MDT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

11-02793 Issued in KS

Practice address

7931 Bond St
Lenexa, KS 66214-1557

Phone

(913) 754-0888

Fax

(913) 754-0891

NPI assigned

Dec 28, 2005

Last updated

Jul 13, 2026By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194702498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6816 W 77TH TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662043161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7931 BOND ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141557",
            "telephone_number": "913-754-0888",
            "fax_number": "913-754-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROECKELMAN",
        "first_name": "TIFFANY",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "MSPT, CERT MDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "KS",
            "license": "11-02793",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "KS",
            "license": "11-02793",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Michelle Brite, TLMFT
• Dara Britton
• Matthew Coury Broberg, O.D.
• Muriel Brock, PT
• Annalissa Brodersen, LMSW
• Brianna Brooks-McMullin
• Ariana Brooks
• Catherine Brooks, RN BSN CCM
• Lorena Lisbet Brooks
• Terran Broom, DC

• Sports Physical Therapist in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Sports Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.