Jordyn Grace Broek

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

125832 Issued in IA

Practice address

1202 21St Ave
Rock Valley, IA 51247-1420

Phone

(712) 476-8080

NPI assigned

May 29, 2024

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

State licenses

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1598505299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 LINDEN ST",
            "city": "HULL",
            "state": "IA",
            "postal_code": "512397447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 21ST AVE",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471420",
            "telephone_number": "712-476-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROEK",
        "first_name": "JORDYN",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IA",
            "license": "125832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lejeana Marie Anliker, MS MHC
• Sarah Connors Beucher, MD
• Austin John Blankespoor, DDS
• Kaitlyn Bradshaw, BCBA
• Jacob Paul Brosamle, D.C.
• Mary Elizabeth Brown, FNP-C
• Chirosport Rock Valley, PC
• City of Rock Valley
• Creative Living Center, P.C.

• Physical Medicine & Rehabilitation Physician in Rock Valley, IA
• Providers in Rock Valley, IA by specialty
• Physical Medicine & Rehabilitation Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.