MR. EDWARD RICHARD BROAD (MPT) – Physical Therapist, NPI 1235152117

MR. EDWARD RICHARD BROAD (MPT) is a healthcare provider. based in Hoover, Alabama. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT. They hold a License No. 1152490 (TX). The NPI Number for MR. EDWARD RICHARD BROAD (MPT) is 1235152117

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. EDWARD RICHARD BROAD (MPT)
NPI
1235152117
Phone
(423) 238-7217
Address
1200 CORPORATE DR STE 400
Enumeration Date
25 July 2006
Last Update Date
13 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9724425287
Graduation Year
1998 (28 years ago)
PAC ID
2769426279
Group Practice PAC ID
0648583344
Professional Enrollment ID
I20050615000896
Address ID
TX750985816WY611XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for MR. EDWARD RICHARD BROAD (MPT)

  • 1200 CORPORATE DR STE 400

    HOOVER, AL 352425424

    Phone: (423) 238-7217

    Type: Mailing

  • 611, West Brown Street, Wylie, Collin County, Texas, 75098, United States

    #101

    WYLIE, TX 75098

    Phone: (972) 442-5287

    Fax: (972) 442-3181

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-06-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050615000896IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities1,00449$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes72344$0
97140Therapy procedure using manual technique, each 15 minutes56441$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care36732$0
97162Evaluation for physical therapy, typically 30 minutes4037$0
View full utilization report →

Insurance plans in this area (ZIP 35242)

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Provider's Procedures

MR. EDWARD RICHARD BROAD (MPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYTX97001Physical therapy evaluation7867

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648583344View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
-TX

Reviews

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Frequently asked questions

How do I look up MR. EDWARD RICHARD BROAD (MPT) by NPI?
Use NPI 1235152117 when you need to reference MR. EDWARD RICHARD BROAD (MPT) in forms, claims, or directories.
Is MR. EDWARD RICHARD BROAD (MPT) active in the national directory?
MR. EDWARD RICHARD BROAD (MPT)'s public NPI profile is in an active state.
What does MR. EDWARD RICHARD BROAD (MPT) treat or focus on?
Patients typically see MR. EDWARD RICHARD BROAD (MPT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is MR. EDWARD RICHARD BROAD (MPT)'s primary listing?
We display Hoover, Alabama because that is what the record indicates for MR. EDWARD RICHARD BROAD (MPT).
How can I contact MR. EDWARD RICHARD BROAD (MPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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