Active NPIIndividual provider

Jillian Broderick, PTA

Physical Therapy Assistant in Beverly, Massachusetts

NPI Number1285079814
Practice location
7 Reservoir RD, Beverly, MA 01915-5501
Fax
—
Last updated
May 9, 2013

Jillian Broderick is a Physical Therapy Assistant based in Beverly, MA. Jillian Broderick practices in Beverly, MA and has the professional credentials of PTA. The NPI Number for Jillian Broderick is 1285079814 and holds a License No. 7896 (MA). The current practice location address for Jillian Broderick is 7 Reservoir RD, Beverly, MA 01915-5501 and can be reached out via phone at 978-524-0333.

Provider Profile Details

NPI Number
1285079814
Provider Name
Jillian Broderick
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
7 Reservoir RD, Beverly, MA 01915-5501
Phone Number
978-524-0333
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
May 9, 2013
Last Update Date
May 9, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
7 Reservoir RD
Beverly, MA 01915-5501
Zip
01915-5501
Phone Number
978-524-0333
Beverly, MA 01915Get directions →

Provider Business Mailing Address Details

Address
4 Jacobs Ave
Beverly, MA 01915-4126
City
Beverly
State
MA
Zip
01915-4126
Phone Number
978-922-9239

License Information

License Number
7896
License State
MA
Taxonomy
Physical Therapy Assistant · 225200000X · 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 Jillian Broderick, PTA?

The NPI number of Jillian Broderick, PTA is 1285079814. It was assigned on May 9, 2013 and is currently active in the NPPES registry.

What is the specialty of Jillian Broderick, PTA?

Jillian Broderick, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 7896.

Where does Jillian Broderick, PTA practice?

The practice location is 7 Reservoir RD, Beverly, MA 01915-5501. The office can be reached at 978-524-0333 (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 1285079814 directly on the NPPES registry website.

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