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

Thomas Broback, DPT, CSCS

Individual provider Orthopedic Physical Therapist · NPI 1063930493

Thomas Broback, DPT, CSCS is an Orthopedic Physical Therapist in Stillwater, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2017
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

14382 60th St N
Stillwater, MN 55082-6311
Phone: (651) 342-0509
Show map & directions

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

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 10800 (MN)

Record details

NPI number1063930493
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , CSCS
Sole proprietorYes
NPI enumeratedSeptember 6, 2017
Last updated in NPPESFebruary 20, 2020
Certification dateFebruary 20, 2020
Mailing address4281 143rd St W, Rosemount, MN 55068-3671

Other providers in Stillwater