Megan Marie Brodwolf, MPT
Individual provider Active NPI Orthopedic Physical Therapist · Delphos, OH
NPI 1700021086 · NPPES record last updated Jan 4, 2011
Key facts
- NPI
- 1700021086
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- PT.012139 (OH)
- Practice address
- 333 North Street
Ste 102
Delphos, OH 45833-1070 - Phone
- (419) 692-0095
- Fax
- (419) 692-0097
- NPI assigned
- Dec 15, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ellerbrock Spine and Soft Tissue Services LLC
Practice addresses (Care Compare)
120 N Main St
Suite a
Bluffton, OH 45817-1201
Phone (419) 358-2222
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231129001439 | OH | Practitioner - Physical Therapist in Private Practice | 2668820887 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT.012139 | OH | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellerbrock Spine and Soft Tissue Services LLC | Current |
Accepting new patients | |
| Morman Family Chiropractic, LLC | Past | Accepting new patients | |
| Northwest Physical Therapy, Inc. | Past | Accepting new patients |
Locations
120 N Main St
Ste A
Bluffton, OH 45817
Phone (419) 358-2222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT.012139 | OH | Yes |
Addresses
Primary practice location
333 North Street
Ste 102
Delphos, OH 45833-1070
Mailing address
1880 N. Perry St
Ste 100
Ottawa, OH 45875-1164
Phone (419) 523-9003
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2251343 | Medicaid | OH |
Other names
- Miss Megan Marie Schroeder
Other providers in Delphos, OH
- Halie Bolen
- Diane Marie Bonifas
- Lilly S Bontrager
- Christine Boop
- Bright Beginnings Baby Center LLC
- Jennifer Lynn Buettner
- Patricia Cardona
- Lisa Howard Cardwell
- Molly Carr
- Sarah Elizabeth Caster
All providers in Delphos, OH · Orthopedic Physical Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.