Robin Broom, M.S. P.T.
Individual provider Active NPI Physical Therapist · Hobbs, NM
NPI 1609983006 · NPPES record last updated Sep 7, 2007
Key facts
- NPI
- 1609983006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2953 (NM)
- Practice address
- 2700 N Grimes St
Hobbs, NM 88240-1816 - Phone
- (505) 392-4129
- Fax
- (505) 392-3835
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2953 | NM | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QMYPR0067389 | Other | NM | MOLINA ID |
| 2387 | Other | NM | LOVELACE ID |
| 003 | Other | NM | HCH ID |
| NM00Q387 | Other | NM | BLUE CROSS ID |
Other providers in Hobbs, NM
- Clara L Breckon
- Lauren Bridgman
- Brittany Briseno
- Brandi Brister
- Cody Paul Brock
- Danny Bryan
- Paul Anton Bublis
- Building Bridges Counseling Services LLC
- Steven Eugene Burback
- Dawna Burton
All providers in Hobbs, NM · Physical Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.