JENNIFER BRODERICK (NPI# 1861860728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861860728 |
| Entity Type | Individual |
| Full Name | JENNIFER BRODERICK |
| Credential | PTA |
| Practice Address |
3703 W Lake Ave Ste 200 Glenview IL 60026-1266 |
| Practice Telephone | 8479981188 |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 160.007148 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003185372 | Jennifer A Broderick | Psychologist | 12938 Ablingdon Dr, Frisco, TX 75035 | 2011-12-15 |
| 1962499723 | Jennifer Mary Broderick | Physician Assistant | 960 7th Ave N, St Petersburg, FL 33705-1347 | 2005-10-05 |
| 1144258807 | Jennifer L Broderick | Contractor | 79 W Main St, Lexington, OH 44904-1113 | 2006-06-29 |
| Street Address |
3703 W LAKE AVE STE 200 |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60026-1266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346436821 | Jodi Despoy | Physical Therapy Assistant | 3703 W Lake Ave Ste 200, Glenview, IL 60026-1266 | 2007-09-19 |
| 1992279368 | Wilson Nuqui De Leon | Occupational Therapy Assistant | 3703 W Lake Ave Ste 200, Glenview, IL 60026-1266 | 2019-01-18 |
| 1003263278 | Eunice Sison | Physical Therapist | 3703 W Lake Ave Ste 200, Glenview, IL 60026-1266 | 2016-05-18 |
| 1548616436 | Marthe Celis | Physical Therapist | 3703 W Lake Ave Ste 200, Glenview, IL 60026-1266 | 2016-05-10 |
| 1073976627 | Roy Guevarra | Physical Therapist | 3703 W Lake Ave Ste 200, Glenview, IL 60026-1266 | 2016-03-31 |
| 1356700520 | Maria Calara | Occupational Therapy Assistant | 3703 W Lake Ave Ste 200, Glenview, IL 60026-1266 | 2016-02-16 |
| 1619335767 | Ronald Go | Physical Therapist | 3703 W Lake Ave Ste 200, Glenview, IL 60026-1266 | 2016-02-03 |
| 1134587561 | Urszula Vetrisek | Physical Therapist | 3703 W Lake Ave Ste 200, Glenview, IL 60026-1266 | 2016-01-30 |
| 1750755237 | Pamela Olachi Osisioma | Occupational Therapist | 3703 W Lake Ave Ste 200, Glenview, IL 60026-1266 | 2015-11-19 |
| 1477924777 | Margi Shah | Physical Therapy Assistant | 3703 W Lake Ave Ste 200, Glenview, IL 60026-1266 | 2015-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322091 | Aven Dones | Occupational Therapy Assistant | 2600 W Compass Dr, Glenview, IL 60026 | 2020-09-24 |
| 1528670692 | Help and Healing Center LLC | Psychologist | 2500 Patriot Boulevard, Suite 250, Glenview, IL 60026 | 2020-08-20 |
| 1487288577 | Susan D Taylor | Physical Therapy Assistant | Select Rehabilitation, Lls, 2600 Compass Road, Glenview, IL 60026 | 2020-02-27 |
| 1952868135 | Beltone Holdings IIi, Inc. | Hearing Instrument Specialist | 2601 Patriot Boulevard, Attn: Lisa Ginensky, Glenview, IL 60026 | 2019-02-25 |
| 1588145007 | Trislyn Deett Palmer | Occupational Therapist | Select Rehab, 2600 Compass Road, Glenview, IL 60026 | 2018-08-23 |
| 1528579901 | Julia Elizabeth Sames | Physician Assistant | 2701 Patriot Blvd Ste 110, Glenview, IL 60026 | 2017-10-12 |
| 1316474711 | Tru Impact Healthcare Sc | Internal Medicine | 2150 Pfingsten Rd Ste 2200, Glenview, IL 60026 | 2017-05-16 |
| 1700251519 | Okoon Psychology Group PC | Clinical Neuropsychologist | 3633 W. Lake Avenue, Suite 406, Evanston, IL 60026 | 2015-12-04 |
| 1497136642 | Nayantara S. Orekondy | Internal Medicine | 2100 Pfingsten Rd # 3001a, Glenview, IL 60026 | 2015-06-13 |
| 1154745792 | Eleanor Finney Vita | Occupational Therapist | 3703 W. Lake Ave, Suite 200, Glenview, IL 60026 | 2014-02-18 |
| Find all providers in zip 60026 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1487288577 | Susan D Taylor | Physical Therapy Assistant | Select Rehabilitation, Lls, 2600 Compass Road, Glenview, IL 60026 | 2020-02-27 |
| 1255723458 | Julie Levy | Physical Therapy Assistant | 3125 Mary Kay Ln, Glenview, IL 60026-1138 | 2015-02-24 |
| 1194147017 | Alysia Hilton | Physical Therapy Assistant | 1787 Camden Dr, Glenview, IL 60025-7605 | 2014-01-12 |
| 1336584002 | Kenneth Brown | Physical Therapy Assistant | 4200 W Lake Ave, Apt B202, Glenview, IL 60026-1472 | 2013-05-07 |
| 1790910511 | Joseph Thomas Toth | Physical Therapy Assistant | 3703 W. Lake Ave., Suite 200, Glenview, IL 60026-1223 | 2009-05-22 |
| 1801061262 | Susan Kelly Gutierrez | Physical Therapy Assistant | 3707 West Lake Ave., Suite #200, Glenview, IL 60026 | 2008-04-28 |
| 1346436821 | Jodi Despoy | Physical Therapy Assistant | 3703 W Lake Ave Ste 200, Glenview, IL 60026-1266 | 2007-09-19 |
| 1396356861 | Nicholas Dale Potgiesser | Physical Therapy Assistant | 2600 Compass Rd, Glenview, IL 60026-8001 | 2020-08-10 |
| 1366062960 | Christine L Masas | Physical Therapy Assistant | 2600 Compass Rd, Glenview, IL 60026-8001 | 2020-04-23 |
| 1841810678 | Miguel Angel Arana I | Physical Therapy Assistant | 2600 Compass Rd, Glenview, IL 60026-8001 | 2020-04-22 |
| Find all providers in GLENVIEW | ||||
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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.