Active NPI
Marlo Camille Broyles, OTR/L
- Occupational Therapist
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 10686
- Practice address
- 1120 Medical Center Dr
Wilmington, NC 28401-7305 - Phone
- (910) 756-3447
- Fax
- (317) 520-8200
- NPI assigned
- Feb 6, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 10686 | NC | Primary |
Addresses
Primary practice location
1120 Medical Center Dr
Wilmington, NC 28401-7305
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
306 Silkweed Ct
Wilmington, NC 28405-2538
Phone (910) 322-4249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1920 W Potomac Ave
Chicago, IL 60622-3149
5710 Oleander Dr
Suite 211
Wilmington, NC 28403-4722
5710 Oleander Dr
Suite 211
Wilmington, NC 28403-4766
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10686 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reinvent Health Inc | Current | Accepting new patients | |
| Zumbro and Connell, Inc | Occupational Therapist | Current | Accepting new patients |
Locations
14057 US Highway 17
Ste 230
Hampstead, NC 28443
Phone (910) 821-3377
5710 Oleander Dr
Ste 211
Wilmington, NC 28403
Phone (910) 398-6301
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Wilmington, NC
- NPI 1750567889
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1780980920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017305",
"telephone_number": "910-756-3447",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [
{
"address_1": "306 Silkweed Ct",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284052538",
"country_code": "US",
"telephone_number": "910-322-4249",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROYLES",
"first_name": "MARLO",
"middle_name": "CAMILLE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-06",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "10686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.