Alexa Brodbeck, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018756 Issued in MI

Practice address

816 Main St Ste a
Delta, OH 43515-1463

Phone

(419) 410-8971

Fax

(419) 822-0334

NPI assigned

Oct 14, 2019

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

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delta Physical Therapy and Sports Medicine LLCGroup PAC ID 8820988181, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Delta Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Delta, OH
  • NPI 1538381819
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1851933535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 BLUE JACKET RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435516365",
            "telephone_number": "419-410-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 MAIN ST STE A",
            "city": "DELTA",
            "state": "OH",
            "postal_code": "435151463",
            "telephone_number": "419-410-8971",
            "fax_number": "419-822-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODBECK",
        "first_name": "ALEXA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Beverly
• Charlene F Blankenship, RN
• Karen L Bolander, RPH
• Megan Lynn Born, MS, ATC
• Cheylynn Bratton
• Laura Brown, RN
• Corey Jon Brownfield I
• Elissa Brywczynski, PHARM D, RPH
• BSMH Employer Services LLC
• Sherrie Buehrer

• Physical Therapist in Delta, OH
• Providers in Delta, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.