MICHAEL GERARD BRODERICK DPT
NPI 1083139216
Physical Therapist in Atlanta, GA
About Michael Gerard Broderick Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL GERARD BRODERICK DPT (NPI 1083139216) is an individual physical therapist in Atlanta, Georgia, licensed in Georgia (PT013003) and active in the NPI registry since August 2017.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michael Gerard Broderick Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Michael Broderick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lilburn, GA 30047
- Reassigned Medicare billing, Georgia enrollment
- 104 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30329
ATLANTA, GA 30329
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Michael Broderick's NPI number?
The NPI number for Michael Broderick is 1083139216. It was assigned to this individual provider in the NPPES registry on August 9, 2017.
Where is Michael Broderick located?
Michael Broderick practices at 17 Executive Park Dr NE Ste 680, Atlanta, GA 30329. The listed phone number is (404) 364-9551.
What is Michael Broderick's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Michael Broderick enrolled in Medicare?
Yes. Michael Broderick is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Michael Broderick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Broderick reassigns Medicare benefits to Physiotherapy Associates Inc (Lilburn, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Broderick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Broderick accept?
Health plans from Alliant Health Plans, Inc. and Oscar Health list Michael Broderick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Michael Broderick was last updated on August 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.