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

Individual provider Physical Therapist · NPI 1811414287

Dr. Kelsey Broderick, DPT is a Physical Therapist in Fairfield, Connecticut. Works from 2 locations. Licensed in Connecticut.

Licensed in
CT
In the registry since
2017
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1931 Black Rock Tpke
Fairfield, CT 06825
Phone: (203) 384-8681
Fax: (203) 384-0722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 — (631) 474-6111

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12302 (CT)

Record details

NPI number1811414287
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 27, 2017
Last updated in NPPESOctober 12, 2022
Certification dateOctober 12, 2022

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