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

Michael Gerard Broderick, DPT

Individual provider Physical Therapist · NPI 1083139216

Michael Gerard Broderick, DPT is a Physical Therapist in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2017.

Licensed in
GA
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

17 Executive Park Dr NE Ste 680
Atlanta, GA 30329-2227
Phone: (404) 364-9551
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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 PT013003 (GA)

Record details

NPI number1083139216
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 9, 2017
Last updated in NPPESAugust 9, 2017
Mailing address10332 Abbotsford Dr, Tampa, FL 33626-1715

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