SUMMER ALYSE BROEKER
NPI 1174498109
Recreation Therapist in Provo, UT

Active since October 08, 2025

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Summer Alyse Broeker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMER ALYSE BROEKER (NPI 1174498109) is an individual recreation therapist in Provo, Utah, licensed in Utah (14245436-4003) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1174498109
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameSUMMER ALYSE BROEKER
Location Address1001 N 500 WProvo, UT 84604-3305
Mailing Address724 S 1700 WPayson, UT 84651-5747
Sole ProprietorNo
Enumeration DateOctober 8, 2025
NPPES CertifiedOctober 8, 2025
NPI 1174498109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
License Licensed in UT · 14245436-4003
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
1001 N 500 W, Provo, UT 84604

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
1001 N 500 W
PROVO, UT 84604
Podiatrist
1001 N 500 W
PROVO, UT 84604
Recreation Therapist
1001 N 500 W
PROVO, UT 84604
Recreation Therapist
1001 N 500 W
PROVO, UT 84604
Recreation Therapist
1001 N 500 W
PROVO, UT 84604
Recreation Therapist
1001 N 500 W
PROVO, UT 84604
Physical Medicine & Rehabilitation
1001 N 500 W
PROVO, UT 84604
Nurse Practitioner (Family)
1001 N 500 W
PROVO, UT 84604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summer Broeker's NPI number?

The NPI number for Summer Broeker is 1174498109. It was assigned to this individual provider in the NPPES registry on October 8, 2025.

Where is Summer Broeker located?

Summer Broeker practices at 1001 N 500 W, Provo, UT 84604. The listed phone number is (801) 377-9661.

What is Summer Broeker's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Summer Broeker was last updated on October 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.