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

Mr. Jerome Daniel Broderick, PT

Individual provider Physical Therapist · NPI 1881691962

Mr. Jerome Daniel Broderick, PT is a Physical Therapist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
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

2911 Knapp St NE Ste C
Grand Rapids, MI 49525-4600
Phone: (616) 975-9078
Fax: (616) 975-9248
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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 5501010335 (MI)

Record details

NPI number1881691962
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 5, 2005
Last updated in NPPESMarch 12, 2012

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