Amy Broaddrick, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

003242 Issued in KY

Practice address

212 Wayne Dr
Richmond, KY 40475-2337

Phone

(859) 625-0001

Fax

(859) 625-1109

NPI assigned

Nov 2, 2005

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrity Diagnostics, PLLC

  • Clinical Electrophysiology Physical Therapist
  • Richmond, KY
  • NPI 1275128563
  NPD (past)
• Madison Physical Therapy Associates, LLC

  • Physical Therapy Clinic/Center
  • Richmond, KY
  • NPI 1063608495
  NPD (past)
• Professional Rehabilitation Associates, PSC

  • Physical Therapist
  • Richmond, KY
  • NPI 1669463170
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134110992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 WAYNE DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752337",
            "telephone_number": "859-625-0001",
            "fax_number": "859-625-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 WAYNE DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752337",
            "telephone_number": "859-625-0001",
            "fax_number": "859-625-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADDRICK",
        "first_name": "AMY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "003242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "000000310975",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Briana Elizabeth Bray, DPT
• Valerie Breeding
• Vernon Dwayne Brewer, D.O.
• Shelby Bridges, APRN, CNM
• Elizabeth Howard Briggs, APRN
• Hannah Renee' Brock
• Regina Lynn Brock, MD
• Agatha D Brockie, PT
• Kelli Brondhaver, OTR
• Austin Nicholas Brooks, PA

• Physical Therapist in Richmond, KY
• Providers in Richmond, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.