Jake Broscha
Jake Broscha is a Physical Therapy Assistant provider (Physical Therapy Assistant) practicing in Centerville, SD, registered in the NPPES registry with NPI 1205216082 since 2015.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205216082 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Jake Broscha |
| Sex | Male |
| Practice address | 500 VERMILLION ST, Centerville, SD, 57014 |
| Phone | 6055632251 |
| Enumeration date | 2015-06-05 |
| Last updated in NPPES | 2015-06-05 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | Primary | 0430 | SD |
Copy-ready billing details
Provider: Jake Broscha NPI: 1205216082 Taxonomy: 225200000X (Physical Therapy Assistant) Address: 500 VERMILLION ST, Centerville, SD, 57014
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1881684637 | The Evangelical Lutheran Good Samaritan Society | Organization | Skilled Nursing Facility | Centerville, SD |
| 1003956202 | The Evangelical Lutheran Good Samaritan Society | Organization | Assisted Living Facility | Centerville, SD |
| 1669643706 | Michelle Nelson | Individual | Physical Therapist | Centerville, SD |
| 1518300235 | Centerville Development Corporation | Organization | Skilled Nursing Facility | Centerville, SD |
| 1154743516 | Kalli Price | Individual | Occupational Therapy Assistant | Centerville, SD |
| 1669868352 | Megan Walding | Individual | Physical Therapist | Centerville, SD |
| 1942675152 | Courtney Blake | Individual | Occupational Therapist | Centerville, SD |
| 1417445230 | Centerville Care & Rehab Center Inc | Organization | Skilled Nursing Facility | Centerville, SD |
Verify this record
Cross-check NPI 1205216082 against the authoritative CMS record: view Jake Broscha on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Is NPI 1205216082 active?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-06-05.