Michael Emmit Broe, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

99 University PL FL 9
New York, NY 10003-4528

Phone

(212) 604-1316

Fax

(212) 604-1320

NPI assigned

Feb 22, 2022

Last updated

Feb 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mike Emmit Broe Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Naledi Physical Therapy PLLCGroup PAC ID 1759819733, 6 clinicians

Lisa Blum Physical Therapy PLLCGroup PAC ID 4981007549, 9 clinicians

Practice addresses (Care Compare)

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.

• Lisa Blum Physical Therapy PLLC

  • Physical Therapist
  • New York, NY
  • NPI 1346823069
  Medicare reassignment Care Compare group NPD
• Naledi Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1316753783

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1912653692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 UNIVERSITY PL FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034528",
            "telephone_number": "212-604-1316",
            "fax_number": "212-604-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 UNIVERSITY PL FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034528",
            "telephone_number": "212-604-1316",
            "fax_number": "212-604-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROE",
        "first_name": "MICHAEL",
        "middle_name": "EMMIT",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKE",
            "last_name": "BROE",
            "middle_name": "EMMIT",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marvin Brody, DDS
• Pierce Aaron Brody, MD
• Robin Brody, PSY.D.
• Steven Mark Brody, D.D.S.
• Lara Brodzinsky, PSY.D.
• Jerelyn J Brofman, PH.D
• Allegra Ivana Broft, MD
• James Brogan, MD
• Karlie Samantha Brogan, OTR/L
• Kelly Brogan, MD

• Physical Therapist in New York, NY
• Providers in New York, 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 Feb 22, 2022; 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.