Jerome D Broderick (NPI# 1881691962, PAC ID# 8123911849) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1881691962 |
| PAC ID by PECOS | 8123911849 |
| Professional Enrollment ID | I20040206000079 |
| Full Name | Jerome D Broderick |
| Organization Legal Name | ACHIEVE PHYSICAL THERAPY AND SPORTS REHAB, LLC |
| Address |
2911 Knapp St Ne C Grand Rapids MI 49525-4600 |
| Phone Number | 6169759078 |
| Gender | M |
| Credential | PT |
| Graduation Year | 1990 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 0547153256 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2911 Knapp St Ne C, Grand Rapids, MI 49525-4600 | 6169759078 | ACHIEVE PHYSICAL THERAPY AND SPORTS REHAB, LLC |
| 8485 Algoma Ave B, Rockford, MI 49341-9102 | 6169759078 | ACHIEVE PHYSICAL THERAPY AND SPORTS REHAB, LLC |
| Organization Legal Name | ACHIEVE PHYSICAL THERAPY AND SPORTS REHAB, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne M Palmitier | Physical Therapy | Achieve Physical Therapy and Sports Rehab, LLC | 4761 Lake Michigan Dr Nw A, Grand Rapids, MI 49534-6300 |
| Joshua S Schueller | Physical Therapy | Achieve Physical Therapy and Sports Rehab, LLC | 2911 Knapp St Ne C, Grand Rapids, MI 49525-4600 |
| Street Address |
2911 KNAPP ST NE C |
| City | GRAND RAPIDS |
| State | MI |
| Zip | 49525-4600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua S Schueller | Physical Therapy | Achieve Physical Therapy and Sports Rehab, LLC | 2911 Knapp St Ne C, Grand Rapids, MI 49525-4600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen A Jacobs | Qualified Audiologist | Audio Vestibular Assessment, Inc | 5344 Plainfield Ave Ne, Suite 4, Grand Rapids, MI 49525-1009 |
| Carol A Byrne | Qualified Audiologist | Audio Vestibular Assessment, Inc | 5344 Plainfield Ave Ne, Suite 4, Grand Rapids, MI 49525-1009 |
| Amy L Buchanan | Optometry | Rx Optical Laboratories, Inc. | 5429 Northland Dr, Grand Rapids, MI 49525-1032 |
| Anthony W Danko | Optometry | Rx Optical Laboratories, Inc. | 5429 Northland Dr, Grand Rapids, MI 49525-1032 |
| Richard W Rozelle | Podiatry | Foot and Ankle Specialists of West Michigan Pllc | 5175 Plainfield Ave Ne, Grand Rapids, MI 49525-1048 |
| William R Decker | Podiatry | Foot and Ankle Specialists of West Michigan Pllc | 5175 Plainfield Ne, Grand Rapids, MI 49525-1048 |
| Patrick J Meyer | Podiatry | Foot and Ankle Specialists of West Michigan Pllc | 5175 Plainfield Ave Ne, Grand Rapids, MI 49525-1048 |
| Patrick G Holser | Optometry | 5378 Plainfield Ave Ne A, Grand Rapids, MI 49525-1053 | |
| Miranda Schmitt | Chiropractic | 5300 Northland Dr Ne F, Growing Family Chiropractic, Grand Rapids, MI 49525-1058 | |
| David Joseph Schwarz | Physical Therapy | Dynamic Movement and Recovery | 4950 Plainfield Ave Ne, Suite A, Grand Rapids, MI 49525-1059 |
| Find all physicians in zip 49525 | |||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | GRAND RAPIDS + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jerome D Broderick.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.