Christine Broderick, PT
Individual provider Active NPI Physical Therapist · Ramsey, NJ
NPI 1235249798 · NPPES record last updated Jan 4, 2012
Key facts
- NPI
- 1235249798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 700C Lake St
Ramsey, NJ 07446-1372 - Phone
- (201) 962-7454
- Fax
- (201) 962-7455
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
700C Lake St
Ramsey, NJ 07446-1372
Mailing address
112 Carter Rd
Haskell, NJ 07420-1060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40QA00928600 | Other | NJ | LICENSE # |
Other providers in Ramsey, NJ
- Anthony Michael Brady
- Christopher Brady
- Christine E. Braia
- John Brandi
- Maryanne Elizabeth Brennan-Spotts
- BSL PM NJ LLC
- Erna Buljko
- Tamara Ann Bulleri
- Talitha Mariana Hedley Burns
- Colette Keenan Byrnes
All providers in Ramsey, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.