Suzanne Gail Broschart, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

018808-1 Issued in NY

Practice address

725 Fellows Ave
Syracuse, NY 13210-3109

Phone

(315) 472-0196

NPI assigned

Nov 10, 2008

Sex

Female

Sole proprietor

Yes

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 NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: suzanne.broschart.p1@direct.liberty-resources.nextgenshare.com

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.

• Liberty Resources Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Syracuse, NY
  • NPI 1225254881
  Medicare reassignment NPD
• Liberty Resources Inc.

  • Foster Care Agency
  • Syracuse, NY
  • NPI 1447821376
  NPD
• Liberty Resources, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fulton, NY
  • NPI 1700688827
  NPD
• Liberty Resources, Inc.

  • Primary Care Clinic/Center
  • Syracuse, NY
  • NPI 1821485483
  NPD (past)

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1487808036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 FELLOWS AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132103109",
            "telephone_number": "315-472-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 FELLOWS AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132103109",
            "telephone_number": "315-472-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSCHART",
        "first_name": "SUZANNE",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018808-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Rose Brooks, NCC, LMHC, LPC
• Nathan D Brooks
• Paula Maria Brooks, M.D.
• Theresa L. Brooks, OTR/L
• Matthew Brophy, DO
• Gary Malcolm Brothers, R.PH.
• Michelle Renee Brotherton, LPN
• Wendy Lynn Broton, NP
• Richelle Brousseau
• Therese Brown Mahoney, NP

• Physical Therapist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.