Lori Broderick
Individual provider Active NPI Occupational Therapist · Redding, CT
NPI 1790649705 · NPPES record last updated Dec 13, 2025
Key facts
- NPI
- 1790649705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 002903 (CT)
- Practice address
- 100 Redding Rd
Redding, CT 06896-3236 - Phone
- (203) 803-2139
- NPI assigned
- Dec 13, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002903 | CT | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 002903 | CT | Yes |
Addresses
Primary practice location
100 Redding Rd
Redding, CT 06896-3236
Mailing address
88 Donnelly Dr
Ridgefield, CT 06877-5611
Phone (508) 735-8881
Other providers in Redding, CT
- Azama Care LLC
- Michael Edmond Barberie
- Benthos Group LLC
- Candace R Benyei
- Bethany Sr PLLC
- Alessandra Bryant
- Christine Bryant
- Lisa Bunce
- C. Vail Counseling Services, LLC
- Jacquelyn Hope Carr
All providers in Redding, CT · Occupational Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2025. 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.