LAUREN BRODERICK (NPI# 1104228535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104228535 |
| Entity Type | Individual |
| Full Name | LAUREN BRODERICK |
| Credential | DPT |
| Practice Address |
9101 Burnet Rd Suite 101 Austin TX 78758-5254 |
| Practice Telephone | 5122482422 |
| Practice Fax Number | 5122482354 |
| Mailing Telephone | 5122482422 |
| Mailing Fax Number | 5122482354 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1246961 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588046213 | Lauren K Broderick | Psychiatry & Neurology | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2015-06-18 |
| Street Address |
9101 BURNET RD SUITE 101 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758-5254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639186828 | Little Tesoros Therapy Services, L.l.p. | Occupational Therapist | 9101 Burnet Rd, Ste103, Austin, TX 78758 | 2006-08-01 |
| 1750800298 | Bailey Marie Watkins | Occupational Therapist | 9101 Burnet Rd, Austin, TX 78758-5254 | 2017-09-15 |
| 1013361468 | Stephanie Zawalicz | Speech-Language Pathologist | 9101 Burnet Rd, Ste 103, Austin, TX 78758-5254 | 2016-04-21 |
| 1689042970 | Little Tesoros Therapy Services, LLP | Clinic/Center | 9101 Burnet Rd, #103, Austin, TX 78758-5254 | 2015-09-03 |
| 1770963456 | Carly Brauer | Occupational Therapist | 9101 Burnet Rd, Austin, TX 78758-5254 | 2015-06-08 |
| 1689063620 | Abby Ames | Speech-Language Pathologist | 9101 Burnet Rd, Ste 103, Austin, TX 78758-5254 | 2015-01-14 |
| 1629467790 | Rachel Hooey | Speech-Language Pathologist | 9101 Burnet Rd, Ste 103, Austin, TX 78758-5254 | 2015-01-13 |
| 1558763078 | Mindy Li | Occupational Therapist | 9101 Burnet Rd, 103, Austin, TX 78758-5254 | 2014-09-16 |
| 1922407113 | Kate Merrifield | Speech-Language Pathologist | 9101 Burnet Rd, Suite 103, Austin, TX 78758-5254 | 2014-08-14 |
| 1952720039 | Kristen Marnul | Speech-Language Pathologist | 9101 Burnet Rd, Suite 103, Austin, TX 78758-5254 | 2014-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245865823 | Brandon Krinock | Physical Therapist | 12349 Metric Blvd Apt 1125, Austin, TX 78758-2537 | 2020-03-04 |
| 1346725371 | Suzanne Elaine Lukovics | Physical Therapist | 12708 Riata Vista Cir # A105, Austin, TX 78727-7167 | 2018-09-25 |
| 1326567850 | Colleen Marie Murphy | Physical Therapist | 13776 Research Blvd Ste 107a, Austin, TX 78750-1875 | 2017-09-15 |
| 1104114412 | Footsteps and Handprints Pediatric Therapy | Physical Therapist | 11229 Liberty Farms Dr, Austin, TX 78754-5973 | 2011-07-20 |
| 1912217266 | Lindsey A Waddell | Physical Therapist | 3607 Manchaca, Austin, TX 78704 | 2010-10-19 |
| 1609007004 | Carolyn Zuiker | Physical Therapist | 6718 La Concha Pass, Austin, TX 78749-1716 | 2009-08-03 |
| 1982830444 | Kathleen Henry | Physical Therapist | 115 Sandra Muraida Way Apt 518, Austin, TX 78703-4840 | 2009-06-10 |
| 1700073459 | Kristin Allen | Physical Therapist | 800 W 34th St Ste 800, Austin, TX 78705-1143 | 2007-09-26 |
| 1235329475 | Andrea Leal | Physical Therapist | 13642 N Hwy 183 Ste 200, Austin, TX 78750-2210 | 2007-07-25 |
| 1265635684 | Victoria Zumberge Cain | Physical Therapist | 9107 United Kingdom Dr, Austin, TX 78748-6475 | 2007-06-06 |
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| 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.