Individual provider Active NPI

Ashley Broda, PT

  • Physical Therapist
  • Troy, NY
National Provider Identifier
1215600283
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2218 Burdett Ave
Troy, NY 12180-0412
Phone
(518) 788-7157
NPI assigned
Jul 27, 2021
Last updated
Jul 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2218 Burdett Ave
Troy, NY 12180-0412

Mailing address

5 Albany St
Hoosick Falls, NY 12090-1201
Phone (518) 788-7157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210929000940 NY Practitioner - Physical Therapist in Private Practice 8820495179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2256 Burdett Ave
Suite 1
Troy, NY 12180-2400
Phone (518) 588-1279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PRN Physical, Occupational and Speech Therapy Network, PLLC Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients
PRN Physical, Occupational and Speech Therapy Network, PLLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

18 Pasinella Way
Cohoes, NY 12047
Phone (518) 238-4150

20 Peachtree Ct
Ste 105
Holbrook, NY 11741
Phone (518) 253-4983

2218 Burdett Ave
Troy, NY 12180
Phone (518) 788-7157

2256 Burdett Ave
Ste 1
Troy, NY 12180
Phone (518) 274-9890

2222 Sullivan Trl
Ste 105
Easton, PA 18040
Phone (574) 261-7058

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1215600283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ALBANY ST",
            "city": "HOOSICK FALLS",
            "state": "NY",
            "postal_code": "120901201",
            "telephone_number": "518-788-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 BURDETT AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121800412",
            "telephone_number": "518-788-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODA",
        "first_name": "ASHLEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.