Individual provider · Type 1 NPI
Tiffany C. Broeckelman, MSPT, CERT MDT
Sports Physical Therapist · Lenexa, KS
Practice location
7931 Bond St
Lenexa, KS 66214-1557
Fax (913) 754-0891
Mailing address
6816 W 77th Ter
Overland Park, KS 66204-3161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Physical Therapist Primary | 2251S0007X | 11-02793 (KS) |
| Orthopedic Physical Therapist | 2251X0800X | 11-02793 (KS) |
Sports Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medica…
5 other providers at this address
- Armando W. Eisma, P.T.Physical Therapist Lenexa, KS NPI 1568528420
- Dorothy L. Cobb, PTPhysical Therapist Lenexa, KS NPI 1225016181
- Douglas Wayne Edwards, ATCAthletic Trainer Lenexa, KS NPI 1225015241
- Jana L. Goolsby, PTAPhysical Therapy Assistant Lenexa, KS NPI 1609888486
- Trent J. Foster, P.T.Orthopedic Physical Therapist Lenexa, KS NPI 1184719635
About NPI 1194702498
Tiffany C. Broeckelman, MSPT, CERT MDT's National Provider Identifier is 1194702498, issued on Dec 28, 2005. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in Lenexa, KS. The record was last updated on Jul 13, 2026.