Doriean Broady, DPT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

2305211422 Issued in PA

Practice address

4902 Arch St Unit 1
Philadelphia, PA 19139-2727

Phone

(585) 944-7961

NPI assigned

Oct 14, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimal Home Rehab, LLCGroup PAC ID 1052651973, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optimal Home Rehab, LLC

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1154885291
  Medicare reassignment Care Compare group Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539475200000",
    "number": "1003382334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 ARCH ST UNIT 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191392727",
            "telephone_number": "585-944-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 ARCH ST UNIT 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191392727",
            "telephone_number": "585-944-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADY",
        "first_name": "DORIEAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-14",
        "last_updated": "2018-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "PA",
            "license": "2305211422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broad Street Professional Medical Services LLC
• Broad Wellness and Chiropractic Center, P.C.
• Louis T Broad, MD
• Michael Broadbent, COTA/L
• Ida Elise Broadwater, CRNP
• Rachel Emily Brobst, DO
• Monica Brocco, MD
• Charlene M Brock, MD
• David G. Brock, M.D.
• Arshay Brockington

• Geriatric Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Geriatric Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.