JOHN T BROADWAY (PT) – Physical Therapist, NPI 1124099668
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,982 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MD
Provider Addresses for JOHN T BROADWAY (PT)
9649 Belair Rd
Suite 301
Perry Hall, MD 21236
Phone: (410) 529-0989
Fax: (410) 529-0993
Type: Location
790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States
BOLINGBROOK, IL 604404909
Phone: (630) 296-2222
Fax: (630) 759-9510
Type: Mailing
9649, Belair Road, Germantown, Perry Hall, Baltimore County, Maryland, 21128, United States
SUITE 301
PERRY HALL, MD 21236
Phone: (410) 529-0989
Fax: (410) 529-0993
Type: Location
8890 CENTRE PARK DR STE 400
COLUMBIA, MD 210452170
Phone: (410) 884-6000
Fax: (410) 884-9990
Type: Location
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: 2013-05-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040503001414 | I | Physical Therapist In Private Practice | MD | TBD |
| I20130506000038 | I | Physical Therapist In Private Practice | DC | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 314 | 43 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 238 | 33 | $0 |
| 97530 | Therapy procedure using functional activities | 235 | 32 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 113 | 14 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 21236)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MD | |
| Physical Therapist In Private Practice | MD | |
| Physical Therapist In Private Practice | MD | |
| Physical Therapist In Private Practice | MD | |
| - | NC | |
| Physical Therapist In Private Practice | MD | |
| Physical Therapist In Private Practice | MD | |
| Physical Therapist In Private Practice | NC | |
| - | MD | |
| - | NC |
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