RUTH M BRODERICK – Physical Therapist, NPI 1194802678

RUTH M BRODERICK is a healthcare provider. based in Haskell, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for RUTH M BRODERICK is 1194802678

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
RUTH M BRODERICK
NPI
1194802678
Phone
(973) 467-7976
Address
1069 RINGWOOD AVE
Enumeration Date
1 November 2006
Last Update Date
20 September 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9736169700
Graduation Year
1994 (32 years ago)
PAC ID
4587750971
Group Practice PAC ID
3779873401
Professional Enrollment ID
I20071017000135
Address ID
NJ074201408HA1069XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

4,923 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

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Provider Addresses for RUTH M BRODERICK

  • 1069, Ringwood Avenue, Haskell, Wanaque, Passaic County, New Jersey, 07420, United States

    STE 211

    HASKELL, NJ 074201408

    Phone: (973) 467-7976

    Fax: (973) 467-7971

    Type: Location

  • 80, Oakwood Drive, Ringwood, Passaic County, New Jersey, 07456, United States

    RINGWOOD, NJ 074562024

    Phone:

    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: 2007-10-17

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
I20071017000135IPhysical Therapist In Private PracticeNJTBD

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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,520102$0
97140Therapy procedure using manual technique, each 15 minutes1,00298$0
97530Therapy procedure using functional activities61167$0
97150Therapy procedure in a group setting53685$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care44241$0
View full utilization report →

Insurance plans in this area (ZIP 07420)

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Provider's Procedures

RUTH M BRODERICK 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 THERAPYNJ97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes6236
PHYSICAL THERAPYNJ97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes127675

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: 3779873401View full group profile
NameSpecialtyState
-NY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNY
-NY
-NJ
Physical Therapist In Private PracticeNJ
-NY
Occupational Therapist In Private PracticeNY

Reviews

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Frequently asked questions

What is the standard ID for RUTH M BRODERICK in the U.S.?
In the U.S., RUTH M BRODERICK is identified by NPI 1194802678.
Is RUTH M BRODERICK currently accepting referrals based on NPI status?
Registry metadata lists RUTH M BRODERICK as active.
How should patients interpret RUTH M BRODERICK's specialty?
The extract shows Physical Therapist for RUTH M BRODERICK. Clinical services aligned with this taxonomy classification.
Can patients visit RUTH M BRODERICK in Haskell, New Jersey?
For routing, start with Haskell, New Jersey for RUTH M BRODERICK, then verify phone and hours locally.
Why is information missing for RUTH M BRODERICK?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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