Active NPI
Stephanie Broadhurst, DPT
- Physical Therapist
- Keokuk, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 073175
- Practice address
- 225 Main St
Keokuk, IA 52632-5837 - Phone
- (319) 524-4900
- Fax
- (319) 524-4895
- NPI assigned
- Aug 20, 2014
- Last updated
- Feb 6, 2020
- 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 | 073175 | IA | Primary |
Addresses
Primary practice location
225 Main St
Keokuk, IA 52632-5837
Mailing address
225 Main St
Keokuk, IA 52632-5837
Phone (319) 524-4900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, MO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3252 Ridge PT
Bettendorf, IA 52722-5312
Phone (563) 332-4995
720 W US Hwy 18
Suite B Athletico Physical Therapy
Garner, IA 50438-1022
Phone (641) 924-0205
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Advance Hannibal Regional Hospital LLC | Physical Therapist | Current | Accepting new patients |
| Advance PT-Blessing Corp Services-Ft Madison Community Hosp | Physical Therapist | Current | Accepting new patients |
| Empowerme Asl, LLC | Physical Therapist | Current | Accepting new patients |
| Advance Hannibal Regional Hospital, LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Asl, LLC | Current | Accepting new patients | |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
Locations
3252 Ridge Pt
Bettendorf, IA 52722
Phone (563) 332-4995
225 Main St
Keokuk, IA 52632
Phone (319) 524-4900
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
1804 Elm St
Canton, MO 63435
Phone (573) 288-3311
160 Progress Rd
#111
Hannibal, MO 63401
188 Medical Dr
#A
Hannibal, MO 63401
Phone (573) 406-0576
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6765
Organizations & group practices 7
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 Medicine & Rehabilitation Physician
- Keokuk, IA
- NPI 1366819021
Physical Therapist
-
- Physical Therapist
- Palmyra, MO
- NPI 1104684703
-
- Physical Therapist
- Canton, MO
- NPI 1437495587
-
dba Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Physical Therapist
-
- Rehabilitation Clinic/Center
- Grand Island, NE
- NPI 1447944657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1912306556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 MAIN ST",
"city": "KEOKUK",
"state": "IA",
"postal_code": "526325837",
"telephone_number": "319-524-4900",
"fax_number": "319-524-4895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 MAIN ST",
"city": "KEOKUK",
"state": "IA",
"postal_code": "526325837",
"telephone_number": "319-524-4900",
"fax_number": "319-524-4895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROADHURST",
"first_name": "STEPHANIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-20",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "073175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keokuk, IA
- Jordan Kay Billups, OTA
- Billy J Alderton Womens Health Practice LLC
- Frank Jason Blickhan, CADC IN JULY 2008
- Emily Caroline Bohl, COTA/L
- Jessica Helene Bowman, M.D.
- Yates Brotherton, PHARM.D.
- Buffalo Prairie Dental Care of Keokuk, Inc
- Buffalo Prairie Dental of Keokuk, PLLC
- Kristine M Casey, MA, LMHC
- Charles F Eddingfield MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.