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

Mary Broadbent, PT

Individual provider Physical Therapist · NPI 1154200665

Mary Broadbent, PT is a Physical Therapist in Private Practice in Flagstaff, Arizona. Qualified in 2009, 17 years ago. Practices with Proof Physical Therapy and Performance LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
17
Licensed in
AZ
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

460 N Switzer Canyon Dr
Flagstaff, AZ 86001-4899
Phone: (928) 440-3106
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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 8620 (AZ)

Record details

NPI number1154200665
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedAugust 28, 2025
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025
Mailing address51 Pine Del Dr, Flagstaff, AZ 86005-9603

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Proof Physical Therapy And Performance Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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