Active NPI
Robin Broom, M.S. P.T.
- Physical Therapist
- Hobbs, NM
National Provider Identifier
1609983006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2953
- Practice address
- 2700 N Grimes St
Hobbs, NM 88240-1816 - Phone
- (505) 392-4129
- Fax
- (505) 392-3835
- NPI assigned
- Aug 23, 2006
- Last updated
- Sep 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2953 | NM | Primary |
Addresses
Primary practice location
2700 N Grimes St
Hobbs, NM 88240-1816
Mailing address
2700 N Grimes St
Hobbs, NM 88240-1816
Phone (505) 392-4129
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QMYPR0067389 | Other | NM | MOLINA ID |
| 2387 | Other | NM | LOVELACE ID |
| NM00Q387 | Other | NM | BLUE CROSS ID |
| 003 | Other | NM | HCH ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2953 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Services Associates, Professional Corp | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Hobbs, NM
- NPI 1396851952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189123200000",
"number": "1609983006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 N GRIMES ST",
"city": "HOBBS",
"state": "NM",
"postal_code": "882401816",
"telephone_number": "505-392-4129",
"fax_number": "505-392-3835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 N GRIMES ST",
"city": "HOBBS",
"state": "NM",
"postal_code": "882401816",
"telephone_number": "505-392-4129",
"fax_number": "505-392-3835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOM",
"first_name": "ROBIN",
"name_prefix": "Mrs.",
"credential": "M.S. P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2007-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "2953",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA ID",
"identifier": "QMYPR0067389",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE ID",
"identifier": "2387",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ID",
"identifier": "NM00Q387",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCH ID",
"identifier": "003",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hobbs, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.