1. Home
  2. Directory
  3. New York
  4. Albany
  5. Specialist Technologist
  6. NPI Profile

THERESE LISIEUX BRODERICK
NPI 1730731225
Specialist/Technologist - Athletic Trainer in Albany, NY

Active since July 15, 2019
391 W LAWRENCE ST, ALBANY, NY 12208(518) 482-2639(518) 482-2639 Get Directions Write a Review

NPPES record last updated: July 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Therese Lisieux Broderick NPPES

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

THERESE LISIEUX BRODERICK (NPI 1730731225) is an individual athletic trainer provider in Albany, New York and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1730731225
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameTHERESE LISIEUX BRODERICK
Location Address391 W LAWRENCE STAlbany, NY 12208-2135
Mailing Address391 W Lawrence StAlbany, NY 12208-2135 · (518) 482-2639 · Fax (518) 482-2639
Phone(518) 482-2639
Fax(518) 482-2639
Sole ProprietorYes
Enumeration DateJuly 15, 2019
✔ NPI 1730731225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
391 W LAWRENCE ST, Albany, NY 12208
Open in Google Maps ↗

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 Therese Broderick's NPI number?

The NPI number for Therese Broderick is 1730731225. It was assigned to this individual provider in the NPPES registry on July 15, 2019.

Where is Therese Broderick located?

Therese Broderick practices at 391 W Lawrence St, Albany, NY 12208. The listed phone number is (518) 482-2639.

What is Therese Broderick's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Therese Broderick was last updated on July 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.