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

Mr. Edward Richard Broad, MPT

Individual provider Physical Therapist · NPI 1235152117

Mr. Edward Richard Broad, MPT is a Physical Therapist in Private Practice in Wylie, Texas. Qualified in 1998, 28 years ago. Practices with Peak Physical Therapy, LLC, a 93-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
28
Licensed in
TX
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

611 W Brown St #101
Wylie, TX 75098
Phone: (972) 442-5287
Fax: (972) 442-3181
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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 1152490 (TX)

Record details

NPI number1235152117
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedJuly 25, 2006
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Peak Physical Therapy, Llc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wylie