TIMOTHY BROADBENT (MS, PT) – Physical Therapist, NPI 1972778124

TIMOTHY BROADBENT (MS, PT) is a healthcare provider. based in Ozark, Missouri. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MS, PT. They hold a License No. 107812 (MO). The NPI Number for TIMOTHY BROADBENT (MS, PT) is 1972778124

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY BROADBENT (MS, PT)
NPI
1972778124
Phone
Not provided
Address
709 E MCCRACKEN RD
Enumeration Date
29 April 2008
Last Update Date
29 April 2008

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4178805002
Graduation Year
1994 (32 years ago)
PAC ID
7315835642
Professional Enrollment ID
I20040309000201
Address ID
MO658091440SP3550XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

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Provider Addresses for TIMOTHY BROADBENT (MS, PT)

  • 709, East McCracken Road, Ozark, Christian County, Missouri, 65721, United States

    OZARK, MO 657219499

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040309000201IPhysical Therapist In Private PracticeMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities6,79449$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes2,98449$0
97116Therapy procedure for walking training, each 15 minutes10930$0
97161Evaluation for physical therapy, typically 20 minutes3832$0
View full utilization report →

Insurance plans in this area (ZIP 65721)

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Reviews

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Frequently asked questions

How do I look up TIMOTHY BROADBENT (MS, PT) by NPI?
Use NPI 1972778124 when you need to reference TIMOTHY BROADBENT (MS, PT) in forms, claims, or directories.
Is TIMOTHY BROADBENT (MS, PT)'s NPI currently valid?
The extract we use shows TIMOTHY BROADBENT (MS, PT) as active.
Can you summarize TIMOTHY BROADBENT (MS, PT)'s specialty in plain language?
Clinically, the directory lists TIMOTHY BROADBENT (MS, PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place TIMOTHY BROADBENT (MS, PT)?
The snapshot lists Ozark, Missouri for TIMOTHY BROADBENT (MS, PT); download NPPES for the complete set.
Is TIMOTHY BROADBENT (MS, PT) a real provider?
This page reflects official NPPES data for NPI 1972778124. Always confirm identity and privileges with the practice and licensing boards.

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