Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Byron Broderick, PTA

Individual provider Physical Therapy Assistant · NPI 1598272999

Byron Broderick, PTA is a Physical Therapy Assistant in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1921 W Irving Park Rd
Chicago, IL 60613-2407
Phone: (773) 687-9442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.008003 (IL)

Record details

NPI number1598272999
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 7, 2018
Last updated in NPPESJanuary 16, 2019
Mailing address1921 W Irving Park Rd, Chicago, IL 60613-2407

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