Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELYSE BRODERICK, DPT
ActiveELYSE BRODERICK, DPT is a Physical Therapy Assistant healthcare provider located in GLEN ELLYN, Illinois. NPI 1346895430 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · GLEN ELLYN, IL
Registration Details
- NPI Number
- 1346895430
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 6, 2019 (6.837746106866 yrs)
- Last Updated
- May 25, 2023
- License
-
070-024714 (IL)
Practice Information
- Address
-
430 PENNSYLVANIA AVE STE 240GLEN ELLYN, IL, 601374464Browse IL providers · Browse ZIP 60137
- Phone
- 6309672000
- Fax
- 6305457816
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in GLEN ELLYN, IL
| Name | Credential | NPI |
|---|---|---|
| ANNE M WIELGOS | P.T. | 1407810823 |
| DIANE MICHELLE HARDY | DPT | 1962504084 |
| MARY BETH BUSH | PT | 1508935081 |
| ALYSSA M HERMANN | PT | 1215000567 |
| MR. EDWARD C VALKNER | PT, OCS | 1982762878 |
| MRS. MARY JANE HAYES | P.T. | 1033274386 |
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.