Joel Alan Broeckelman, | |
7740 Hedge Lane Ter, Shawnee, KS 66227-3017 | |
(913) 745-7537 | |
Not Available |
Full Name | Joel Alan Broeckelman |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 7740 Hedge Lane Ter, Shawnee, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427546159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11-07381 (Kansas) | Primary |
Provider Name | Freedom Physical Therapy And Training Center Pa |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1609267913 PECOS PAC ID: 1153649777 Enrollment ID: O20150413000815 |
Mailing Address | Practice Location Address |
---|---|
Joel Alan Broeckelman, 200 W Douglas Ave Ste 1040, Wichita, KS 67202-3017 Ph: (316) 263-0003 | Joel Alan Broeckelman, 7740 Hedge Lane Ter, Shawnee, KS 66227-3017 Ph: (913) 745-7537 |
Chandler R Altom, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11207 Shawnee Mission Pkwy, Shawnee, KS 66203 Phone: 913-275-5751 Fax: 913-320-2217 | |
John Thomas Smith, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 22208 W 51st St, Shawnee, KS 66226 Phone: 913-441-8225 | |
Rachel Marie Mcgraw, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7405 Renner Rd, Shawnee, KS 66217 Phone: 913-588-3506 | |
Kimberly Michel Sumner, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16018 W. 65th Street, Shawnee, KS 66217 Phone: 913-815-6677 Fax: 913-248-3256 | |
Mr. Bret Crossland, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7732 Hedge Lane Ter, Shawnee, KS 66227 Phone: 913-745-7567 Fax: 844-273-2719 | |
Courtney Weis, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 22342 W 66th St, Shawnee, KS 66226 Phone: 913-728-6166 Fax: 833-615-8216 | |
Mr. Allen Anthony Child, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12480 W 62nd Ter Ste 100, Shawnee, KS 66216 Phone: 913-248-8888 Fax: 855-898-3660 |