Melanie Broome, PT, CEEAA, VESTIB

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT17107 Issued in FL

Practice address

710 Hospital Dr
Crestview, FL 32539-7380

Phone

(850) 398-8480

Fax

(850) 398-8482

NPI assigned

Jan 19, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321142400000",
    "number": "1700181906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 HOSPITAL DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325397380",
            "telephone_number": "850-398-8480",
            "fax_number": "850-398-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 HOSPITAL DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325397380",
            "telephone_number": "850-398-8480",
            "fax_number": "850-398-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOME",
        "first_name": "MELANIE",
        "credential": "PT, CEEAA, VESTIB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT17107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Brito
• Chasity Alexandria Britt
• Brittany S. Newman, LLC
• Kara O Brooks, M.D.
• Savannah Brooks
• Judith M Brown, LMT
• Katherine Brown
• Kimberly Edwina Brown, PTA
• Troy Brown III, D.M.D.
• Tanner Brunnworth, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2011; 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.