Tawna Bromhead, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6369 Issued in SC

Practice address

2142 Rothbury Dr
Jacksonville, FL 32221-1958

Phone

(904) 881-3898

NPI assigned

Feb 3, 2011

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

Other names 1

• Tawna Bennett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Imagine Physical Therapy LLC

  • Physical Therapist
  • Mt Pleasant, SC
  • NPI 1245241041
  NPD (past)
• Inova Health Care Services

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1952320061
  NPD (past)

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1295031508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 ROTHBURY DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322211958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 ROTHBURY DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322211958",
            "telephone_number": "904-881-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROMHEAD",
        "first_name": "TAWNA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-03",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAWNA",
            "last_name": "BENNETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kiya Jane Brody
• Justine A Broecker, M.D.
• Kelly Lynne Broekhof, BSN
• Nyel Brogden
• Bonnie Lynn Brogdon, PA-C
• Timothy Daniel Bromhead, DPT
• Grace Bromley, RDN, LDN
• Thomas P Broner, D.P.M.
• Madison Marie Bronisz
• Quandrian M Bronner, PA-C

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.