MICHAEL GERARD BRODERICK (NPI# 1083139216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083139216 |
| Entity Type | Individual |
| Full Name | MICHAEL GERARD BRODERICK |
| Credential | DPT |
| Practice Address |
17 Executive Park Dr Ne Ste 680 Atlanta GA 30329-2227 |
| Mailing Address |
10332 Abbotsford Dr Tampa FL 33626-1715 |
| Practice Telephone | 4043649551 |
| Mailing Telephone | 8135419087 |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2017-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT013003 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033778758 | Michael Francis Broderick | Internal Medicine | 5450 Fort St, Trenton, MI 48183-4601 | 2019-06-06 |
| 1811108012 | Michael Broderick | Psychologist | 491 Stevens Ave, Portland, ME 04103-2636 | 2007-05-28 |
| Street Address |
17 EXECUTIVE PARK DR NE STE 680 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-2227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558969204 | Caitlin P Knowles | Physical Therapist | 349 Delmont Dr Ne, Atlanta, GA 30305-3220 | 2020-10-14 |
| 1659981322 | Gerald E Roettger | Physical Therapist | 2955 Peachtree Road Nw, Suite A1, Atlanta, GA 30305 | 2020-08-06 |
| 1063021251 | Zachary Vinsant | Physical Therapist | 4620 Wieuca Rd Ne Apt 26, Atlanta, GA 30342-3335 | 2020-07-23 |
| 1538777198 | Megan Mclees Washburn | Physical Therapist | 2448 Chestnut Lndg, Atlanta, GA 30360-2198 | 2020-07-20 |
| 1710521471 | Alexandra Marie Evancho | Physical Therapist | 141 Lindbergh Dr Ne Unit A, Atlanta, GA 30305-3765 | 2019-11-05 |
| 1386292217 | Andrew Michael Benton | Physical Therapist | 550 Peachtree St Ne Ste 1760, Atlanta, GA 30308-2262 | 2019-09-04 |
| 1093369548 | Gordon Peace | Physical Therapist | 705 Town Blvd Ne S 550, Atlanta, GA 30319 | 2019-08-01 |
| 1366094443 | Kelly Elizabeth Mckinnon | Physical Therapist | 2001 Peachtree Rd Ne Ste 200, Atlanta, GA 30309-1476 | 2019-07-10 |
| 1295292555 | Christina Diggs | Physical Therapist | 550 Peachtree St Ne # L231, Atlanta, GA 30308-2247 | 2019-02-22 |
| 1265998066 | Megan Elizabeth Ruger | Physical Therapist | 636 Cresthill Ave Ne, Atlanta, GA 30306-3640 | 2019-02-17 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on MICHAEL GERARD BRODERICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.