Victoria Broderick

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

7081-7083 Baltimore Annapolis Blvd
Glen Burnie, MD 21061

Phone

(410) 691-1090

Fax

(410) 691-1094

NPI assigned

Oct 13, 2015

Last updated

Oct 13, 2015By 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

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Rehab 2 Perform LLCGroup PAC ID 6002199064, 92 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.05 of 100Reported as group

Quality

89.12

Improvement activities

40

Cost

73.46

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rehab 2 Perform LLC

  • Physical Therapist
  • Germantown, MD
  • NPI 1306251434
  Medicare reassignment Care Compare group NPD
• Ati Holdings, LLC

  dba ATI Physical Therapy

  • Physical Therapy Clinic/Center
  • Rising Sun, MD
  • NPI 1396781050

  DC, Physical Therapist

  Medicare reassignment NPD
• Rehab 2 Perform LLC

  • Physical Therapist
  • Columbia, MD
  • NPI 1295618692
  NPD
• Ati Holdings, LLC

  • Durable Medical Equipment & Medical Supplies
  • King of Prussia, PA
  • NPI 1750194460

  Physical Therapist

  NPD
• Ati Holding LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Glen Burnie, MD
  • NPI 1265907489
  NPD (past)
• Ati Holding LLC

  dba PRO Physical Therapy

  • Physical Therapist
  • Glen Burnie, MD
  • NPI 1952690596
  NPD (past)
• Ati Holdings, LLC

  dba ATI Physical Therapy Linthicum

  • Physical Therapist
  • Glen Burnie, MD
  • NPI 1144603440
  NPD (past)

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1306217658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7081-7083 BALTIMORE ANNAPOLIS BLVD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-691-1090",
            "fax_number": "410-691-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODERICK",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brightwell Health LLC
• Brightwell Health LLC
• Brilliantminds Psychiatry, LLC
• Broador Horizon, Inc
• Robin Joyce Brocious, LPN
• Brittney Brooks-Grey
• Andrea M Brooks, CRNP
• Christy Lyn Brooks, MPT
• Liza A Brown-Dicostantino, OTR/L
• Arnasia Brown

• Physical Therapist in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.