ERIC BROADWORTH
NPI 1598164667
Physical Therapist in Grand Rapids, MI

Active since August 14, 2014
130 MARKET AVE SW # 106, GRAND RAPIDS, MI 49503(616) 757-0932(616) 259-4226 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eric Broadworth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC BROADWORTH (NPI 1598164667) is an individual physical therapist in Grand Rapids, Michigan, licensed in Michigan (5501016918) and active in the NPI registry since August 2014. He is a graduate of Other (2014).

NPPES Registry Identity

NPI1598164667
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameERIC BROADWORTH
Location Address130 MARKET AVE SW # 106Grand Rapids, MI 49503-4029
Mailing Address1139 Houseman Ave NeGrand Rapids, MI 49503-1229 · (810) 347-5219 · Fax (616) 259-4226
Fax(616) 259-4226
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 14, 2014
Last NPPES UpdateApril 28, 2026
NPPES CertifiedApril 28, 2026
NPI 1598164667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MI · 5501016918
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

130 MARKET AVE SW # 106, Grand Rapids, MI 49503

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Eric Broadworth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880160993
PECOS Enrollment IDI20260416001981

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Physical Therapy)
130 MARKET AVE SW # 106
GRAND RAPIDS, MI 49503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598164667, enumerated as an "individual" on August 14, 2014.

The provider is located at 130 MARKET AVE SW # 106 GRAND RAPIDS, MI 49503 and the phone number is (616) 757-0932.

Physical Therapist with taxonomy code 225100000X.