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

Mary Suzanne Balconi-Broome, OTR

Individual provider Occupational Therapist · NPI 1598462145

Mary Suzanne Balconi-Broome, OTR is an Occupational Therapist in Irving, Texas. Licensed in Texas. Registered with an NPI since 2023.

Licensed in
TX
In the registry since
2023
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

377 Las Colinas Blvd E Apt 379
Irving, TX 75039-6214
Phone: (817) 475-3124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 108777 (TX)

Record details

NPI number1598462145
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedFebruary 14, 2023
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 14, 2023

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