Thomas Broback, DPT, CSCS
NPI 1063930493 · Orthopedic Physical Therapist · Stillwater, MN
Thomas Broback, DPT, CSCS is a Orthopedic Physical Therapist provider in Stillwater, MN (NPI 1063930493).
Provider details
- NPI number
- 1063930493
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT, CSCS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10800 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-09-06
- Last updated
- 2020-02-20
- Certified
- 2020-02-20
Frequently asked questions
- What is Thomas Broback's NPI number?
- Thomas Broback's National Provider Identifier (NPI) is 1063930493, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Broback's specialty?
- Thomas Broback is listed in the NPPES registry with a primary specialty of Orthopedic Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Thomas Broback located?
- Thomas Broback's practice location on file with NPPES is 14382 60th St N, Stillwater, MN 55082-6311.
- What is Thomas Broback's phone number?
- The practice phone number listed in the NPPES registry for Thomas Broback is (651) 342-0509.
- Is Thomas Broback's NPI active?
- Yes — Thomas Broback's NPI (1063930493) is active in the NPPES registry as of the last update on 2020-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.