Susan H Broderick, RPT
Physical Therapist in Middlebury, Connecticut
1669784401- Practice location
- 590 Middlebury RD, Suite A, Middlebury, CT 06762-2562
- Phone
- 203-577-3700
- Fax
- 203-577-3800
- Last updated
- July 9, 2010
Susan H Broderick is a Physical Therapist based in Middlebury, CT. Susan H Broderick practices in Middlebury, CT and has the professional credentials of RPT. The NPI Number for Susan H Broderick is 1669784401 and holds a License No. 003751 (CT). The current practice location address for Susan H Broderick is 590 Middlebury RD, Suite A, Middlebury, CT 06762-2562 and can be reached out via phone at 203-577-3700 and via fax at 203-577-3800.
Provider Profile Details
- NPI Number
- 1669784401
- Provider Name
- Susan H Broderick
- Credential
- RPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 590 Middlebury RD, Suite A, Middlebury, CT 06762-2562
- Phone Number
- 203-577-3700
- Fax Number
- 203-577-3800
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Other Names
- -- Susan Haviland, RPT (Former Name)
- Provider Enumeration Date
- July 9, 2010
- Last Update Date
- July 9, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 590 Middlebury RD
Suite A
Middlebury, CT 06762-2562 - City
- Middlebury
- State
- Connecticut
- Zip
- 06762-2562
- Phone Number
- 203-577-3700
- Fax Number
- 203-577-3800
Provider Business Mailing Address Details
- Address
- Po Box 1327
Middlebury, CT 06762-7327 - City
- Middlebury
- State
- CT
- Zip
- 06762-7327
- Phone Number
- 203-577-3700
- Fax Number
- 203-577-3800
License Information
- License Number
- 003751
- License State
- CT
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Susan H Broderick, RPT?
The NPI number of Susan H Broderick, RPT is 1669784401. It was assigned on July 9, 2010 and is currently active in the NPPES registry.
What is the specialty of Susan H Broderick, RPT?
Susan H Broderick, RPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 003751.
Where does Susan H Broderick, RPT practice?
The practice location is 590 Middlebury RD, Suite A, Middlebury, CT 06762-2562. The office can be reached at 203-577-3700 (phone) or 203-577-3800 (fax).
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 1669784401 directly on the NPPES registry website.