Mary Ellen Broersma, PT
Physical Therapist in Seattle, Washington
1053545475- Practice location
- 509 Olive Way, Ste. 1011, Seattle, WA 98101-1720
- Phone
- 206-623-4570
- Fax
- 206-623-4574
- Last updated
- February 4, 2014
Mary Ellen Broersma is a Physical Therapist based in Seattle, WA. Mary Ellen Broersma practices in Seattle, WA and has the professional credentials of PT. The NPI Number for Mary Ellen Broersma is 1053545475 and holds a License No. PTG0083544 (WA). The current practice location address for Mary Ellen Broersma is 509 Olive Way, Ste. 1011, Seattle, WA 98101-1720 and can be reached out via phone at 206-623-4570 and via fax at 206-623-4574.
Provider Profile Details
- NPI Number
- 1053545475
- Provider Name
- Mary Ellen Broersma
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 509 Olive Way, Ste. 1011, Seattle, WA 98101-1720
- Phone Number
- 206-623-4570
- Fax Number
- 206-623-4574
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 13, 2009
- Last Update Date
- February 4, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 509 Olive Way
Ste. 1011
Seattle, WA 98101-1720 - City
- Seattle
- State
- Washington
- Zip
- 98101-1720
- Phone Number
- 206-623-4570
- Fax Number
- 206-623-4574
Provider Business Mailing Address Details
- Address
- 16083 SW Upper Boones Ferry RD
Suite 300
Tigard, OR 97224-7736 - City
- Tigard
- State
- OR
- Zip
- 97224-7736
- Phone Number
- 800-219-8835
- Fax Number
- 503-639-9699
License Information
- License Number
- PTG0083544
- License State
- WA
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mary Ellen Broersma, PT?
The NPI number of Mary Ellen Broersma, PT is 1053545475. It was assigned on May 13, 2009 and is currently active in the NPPES registry.
What is the specialty of Mary Ellen Broersma, PT?
Mary Ellen Broersma, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in WA under license number PTG0083544.
Where does Mary Ellen Broersma, PT practice?
The practice location is 509 Olive Way, Ste. 1011, Seattle, WA 98101-1720. The office can be reached at 206-623-4570 (phone) or 206-623-4574 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053545475 directly on the NPPES registry website.