Wayne Broberg, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

6065 Meridian Ave
Ste 70
San Jose, CA 95120-2772

Phone

(408) 927-0871

Fax

(408) 927-0891

NPI assigned

Oct 12, 2006

Last updated

Dec 13, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 CA, NV2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Meeta Arya

  • Physical Therapist
  • San Jose, CA
  • NPI 1457012015
  Medicare reassignment
• Elizabeth Lilly Baker, PT, DPT

  • Physical Therapist
  • San Jose, CA
  • NPI 1215247069
  Medicare reassignment
• Neha Joshi, MPT

  • Physical Therapist
  • San Jose, CA
  • NPI 1558090597
  Medicare reassignment
• Poorva Kulkarni, PT DPT MHS

  • Physical Medicine & Rehabilitation Physician
  • Morgan Hill, CA
  • NPI 1326665886
  Medicare reassignment
• Rick Shon, PT, DPT

  • Physical Therapy Clinic/Center
  • San Jose, CA
  • NPI 1003525544
  Medicare reassignment
• Ayesha R Sulemani, P.T.

  • Physical Therapist
  • Sunnyvale, CA
  • NPI 1487959565
  Medicare reassignment
• Thomas Tai

  • Orthopedic Physical Therapist
  • Santa Clara, CA
  • NPI 1538652995
  Medicare reassignment
• Ivy Jean Viliran

  • Physical Medicine & Rehabilitation Physician
  • San Jose, CA
  • NPI 1518641042
  Medicare reassignment
• Parul Wason, PT

  • Physical Therapist
  • Stanford, CA
  • NPI 1083159685
  Medicare reassignment
• Allison Butler, DPT

  • Physical Therapist
  • Florham Park, NJ
  • NPI 1689398356

  CA

  Medicare reassignment
• Melani Kim Cabanayan, DPT

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1083213060

  CA

  Medicare reassignment
• Ankita Ranga, PT

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1871033886

  CA

  Medicare reassignment

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.

• Broberg Physical Therapy LV LLC

  • Orthopedic Physical Therapist
  • Las Vegas, NV
  • NPI 1417798281
  Medicare reassignment NPD Authorized official
• Nevada Luna Care Physical Therapy LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1457087009
  Medicare reassignment NPD
• Broberg Physical Therapy

  • Physical Therapist
  • San Jose, CA
  • NPI 1528170669
  NPD (past) Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1982793477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6065 MERIDIAN AVE",
            "address_2": "STE 70",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202772",
            "telephone_number": "408-927-0871",
            "fax_number": "408-927-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 MERIDIAN AVE",
            "address_2": "STE 70",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202772",
            "telephone_number": "408-927-0871",
            "fax_number": "408-927-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROBERG",
        "first_name": "WAYNE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jess Gregory Brito, MSW
• Marie B Britz, M.D.
• Mary Magdalene Brkich
• Broadway High School
• Broberg Physical Therapy
• Brielle Brock
• Kelly Koga Brock, P.T.
• Nancy Brock
• Dena Lauren Eva Brodsky
• Shirley Hugues Brodston, APRN

• Physical Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.