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MARC ALLEN BROBERG PT
NPI 1285910679
Physical Therapist - Neurology in Ventura, CA

Active since October 29, 2011Accepts Medicare Assignment
3418 LOMA VISTA RD, SUITE A, VENTURA, CA 93003(805) 410-1363 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Marc Allen Broberg Pt NPPES

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

MARC ALLEN BROBERG PT (NPI 1285910679) is an individual neurology provider in Ventura, California, licensed in California (27877) and active in the NPI registry since October 2011. He is a graduate of Other (2002).

NPPES Registry Identity

NPI1285910679
Entity TypeIndividualMale
Primary Taxonomy2251N0400X
Provider Legal NameMARC ALLEN BROBERGCredential: PT
Location Address3418 LOMA VISTA RD, SUITE AVentura, CA 93003-3016
Mailing Address3418 Loma Vista Rd, Suite AVentura, CA 93003-3016 · (805) 223-0508
Phone(805) 410-1363
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 29, 2011
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1285910679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · NeurologyRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251N0400X
License✔ Licensed in CA · 27877
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.
3418 LOMA VISTA RD, Ventura, CA 93003
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marc Allen Broberg Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799936704
PECOS Enrollment IDI20130403000198

Medicare Billing Reassignment

Medicare enrollment records show Marc Broberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Two Trees Physical Therapy & Wellness Inc
Same address
Physical Therapist
3418 LOMA VISTA RD, STE A
Ventura, CA 93003
  • Reassigned Medicare billing, California enrollment
  • 101 clinicians in this Medicare group
NPI 1770830325 (805) 765-4773

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
90 services15 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
43 services11 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
14 services13 patients
Repositioning exercises of head for treatment of dizziness, each day 95992
Repositioning exercises of the head help manage dizziness by training your brain to cope with the signals that trigger this sensation. Daily, gentle movements of the head and body can reduce symptoms and improve balance.
12 services11 patients

Other Providers at the Same Location NPPES 17

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

SARAH KATHLEEN WALLINGTON PT, MPT
Physical Therapist
3418 LOMA VISTA RD
VENTURA, CA 93003
Ventura County (805) 765-4773
MS. NANCY MAY GOULD
Audiologist
3418 LOMA VISTA RD
VENTURA, CA 93003
Ventura County (805) 620-0049
DR. KRISTOFER PAUL YOUNG DC
Chiropractor
3418 LOMA VISTA RD, STE 1A
VENTURA, CA 93003
Ventura County (805) 658-0123
DR. STEPHEN R. SHAW M.D.
Pain Medicine (Interventional Pain Medicine)
3418 LOMA VISTA RD, SUITE B
VENTURA, CA 93003
Ventura County (805) 642-0128
STEPHEN R. SHAW, M.D., INC.
Pain Medicine (Interventional Pain Medicine)
3418 LOMA VISTA RD, SUITE B
VENTURA, CA 93003
Ventura County (805) 642-0128
MRS. TAMMY LYN CRUZ OTR/L
Occupational Therapist
3418 LOMA VISTA RD, SUITE A
VENTURA, CA 93003
Ventura County (805) 765-4773
SCOTT DEANGELIS OTR/L
Specialist
3418 LOMA VISTA RD
VENTURA, CA 93003
Ventura County (805) 765-4773
REDIMEDIC INC
General Practice
3418 LOMA VISTA RD, SUITE B
VENTURA, CA 93003
Ventura County (805) 644-4809

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 Marc Broberg's NPI number?

The NPI number for Marc Broberg is 1285910679. It was assigned to this individual provider in the NPPES registry on October 29, 2011.

Where is Marc Broberg located?

Marc Broberg practices at 3418 Loma Vista Rd Suite A, Ventura, CA 93003. The listed phone number is (805) 410-1363.

What is Marc Broberg's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

Is Marc Broberg enrolled in Medicare?

Yes. Marc Broberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Marc Broberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Broberg reassigns Medicare benefits to Two Trees Physical Therapy & Wellness Inc (Ventura, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marc Broberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marc Broberg was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.