Physical Therapist
TRACY BROOMELL DPT
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1861977530 · enumerated 2018-09-28 · record updated 2018-09-28. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 7614 RAVENSWOOD DR, PORTAGE, MI, 49024-5020 (269) 501-8640 Google Maps Apple Maps OpenStreetMap
- Practice location 4025 CHERRY AVE NE, KEIZER, OR, 97303-4859 (503) 390-9009 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist 225100000X · License 5501018836 MI
- Physical Therapist 225100000X · Primary · License 62970 OR
In this directory
Locations and evidence
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Practice location
KEIZER, OR, 973034859
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.