Heather Lorin Broach, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305211770 Issued in VA

Practice address

2331 Seminole LN Ste 103
Charlottesville, VA 22901

Phone

(432) 428-4789

Fax

(434) 529-6985

NPI assigned

Mar 23, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Drayer Physical Therapy Virginia, LLC

  • Physical Therapist
  • Stafford, VA
  • NPI 1457947707
  NPD (past)

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1114389640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 HIGHWAY 81 SOUTH",
            "city": "LOGANVLLE",
            "state": "GA",
            "postal_code": "300523918",
            "telephone_number": "770-554-0665",
            "fax_number": "770-554-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 SEMINOLE LN STE 103",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22901",
            "telephone_number": "432-428-4789",
            "fax_number": "434-529-6985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2331 Seminole Ln Ste 103",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "22901",
            "country_code": "US",
            "telephone_number": "434-284-7894",
            "fax_number": "434-529-6985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1976 Hacienda Dr",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920816025",
            "country_code": "US",
            "telephone_number": "760-295-4175",
            "fax_number": "760-295-4176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROACH",
        "first_name": "HEATHER",
        "middle_name": "LORIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "291242",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "291242",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Christine Britt, LCSW
• Erin Britt
• Jacob Britton
• Matthew Britton, MD
• Jared Todd Brizendine, PA
• Broadfield Speech & Swallowing Therapy LLC
• Dallin Stanford Broberg, MD
• Amanda Brochu
• Harrison Brock, MD
• Stephen F. Brockmeier, M.D.

• Physical Therapist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.