Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Broback, DPT, CSCS

Individual provider Sports Physical Therapist · NPI 1154939171

Charles Broback, DPT, CSCS is a Sports Physical Therapist in Golden Valley, Minnesota. Licensed in Minnesota. Registered with an NPI since 2020.

Licensed in
MN
In the registry since
2020
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

8301 Golden Valley Rd Ste 202
Golden Valley, MN 55427-4475
Phone: (763) 533-0833
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11910 (MN)
Sports Physical Therapist Taxonomy 2251S0007X

Record details

NPI number1154939171
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , CSCS
Sole proprietorNo
NPI enumeratedJuly 15, 2020
Last updated in NPPESJuly 21, 2020
Certification dateJuly 21, 2020
Mailing address717 2nd St Ne Apt 2, Minneapolis, MN 55413-1907