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

Jake Broscha

Individual provider Physical Therapy Assistant · NPI 1205216082

Jake Broscha is a Physical Therapy Assistant in Centerville, South Dakota. Licensed in South Dakota. Registered with an NPI since 2015.

Licensed in
SD
In the registry since
2015
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Practice location Address checks out

500 Vermillion St
Centerville, SD 57014-2168
Phone: (605) 563-2251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 0430 (SD)

Record details

NPI number1205216082
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 5, 2015
Last updated in NPPESJune 5, 2015
Mailing address805 E 15th St Apt 304, Yankton, SD 57078-5010