Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKE T BROCCOLO, DPT
ActiveJAKE T BROCCOLO, DPT is a Physical Therapy Assistant healthcare provider located in NORTH PROVIDENCE, Rhode Island. NPI 1144709114 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · NORTH PROVIDENCE, RI
Registration Details
- NPI Number
- 1144709114
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2018 (7.9729330619157 yrs)
- Last Updated
- Jan 30, 2026
- Licenses
-
PTL88684 (MA)PT03093 (RI)
Practice Information
- Address
-
1401 DOUGLAS AVENORTH PROVIDENCE, RI, 029044058Browse RI providers · Browse ZIP 02904
- Phone
- 4017267100
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in NORTH PROVIDENCE, RI
| Name | Credential | NPI |
|---|---|---|
| ROBERT JOSEPH SCLAMA JR. | MSPT | 1770557902 |
| MR. MELISSA A. BRUNELLE | P.T. | 1962587931 |
| MS. SUSAN M ALMEIDA | MSPT | 1154497451 |
| MS. MILVA CATALLOZZI | MS.,PT | 1205902228 |
| JOSHUA J. PERRY | P.T. | 1760522973 |
| MR. FRANKLIN CORDERO II | PT | 1639208762 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.