Active NPIIndividual provider

Lauren R Broderick, PT, DPT

Physical Therapist in Lewiston, Maine

NPI Number1083455869
Practice location
300 Main St, Lewiston, ME 04240-7027
Fax
—
Last updated
June 4, 2024

Lauren Rose Broderick is a Physical Therapist based in Lewiston, ME. Lauren Rose Broderick practices in Lewiston, ME and has the professional credentials of PT, DPT. The NPI Number for Lauren Rose Broderick is 1083455869 and holds a License No. PT6799 (ME). The current practice location address for Lauren Rose Broderick is 300 Main St, Lewiston, ME 04240-7027 and can be reached out via phone at 207-795-0111.

Provider Profile Details

NPI Number
1083455869
Provider Name
Lauren Rose Broderick
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Female
Address
300 Main St, Lewiston, ME 04240-7027
Phone Number
207-795-0111
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
June 4, 2024
Last Update Date
June 4, 2024
Certification Date
June 4, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Main St
Lewiston, ME 04240-7027
State
Maine
Zip
04240-7027
Phone Number
207-795-0111
Lewiston, ME 04240Get directions →

Provider Business Mailing Address Details

Address
1871 Woodard RD
Elma, NY 14059-9366
City
Elma
State
NY
Zip
14059-9366
Phone Number
716-238-6460

License Information

License Number
PT6799
License State
ME
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lauren R Broderick, PT, DPT?

The NPI number of Lauren R Broderick, PT, DPT is 1083455869. It was assigned on June 4, 2024 and is currently active in the NPPES registry.

What is the specialty of Lauren R Broderick, PT, DPT?

Lauren R Broderick, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in ME under license number PT6799.

Where does Lauren R Broderick, PT, DPT practice?

The practice location is 300 Main St, Lewiston, ME 04240-7027. The office can be reached at 207-795-0111 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083455869 directly on the NPPES registry website.

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