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

Elyse Broderick, DPT

Individual provider Physical Therapist · NPI 1346895430

Elyse Broderick, DPT is a Physical Therapist in Private Practice in Glen Ellyn, Illinois. Qualified in 2019, 7 years ago. Practices with Dupage Medical Group Ltd, a 1,328-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019
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

430 Pennsylvania Ave Ste 240
Glen Ellyn, IL 60137-4464
Phone: (630) 967-2000
Fax: (630) 545-7816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070-024714 (IL)

Record details

NPI number1346895430
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 6, 2019
Last updated in NPPESMay 25, 2023
Certification dateMay 25, 2023
Mailing addressPo Box 713260, Chicago, IL 60674-0018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Dupage Medical Group Ltd — 1328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Glen Ellyn