DR. MELISSA ANN BROAD (PT, DPT) – Physical Therapist, NPI 1134559248

DR. MELISSA ANN BROAD (PT, DPT) is a healthcare provider. based in Wernersville, Pennsylvania. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 40QA01528400 (NJ). The NPI Number for DR. MELISSA ANN BROAD (PT, DPT) is 1134559248

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. MELISSA ANN BROAD (PT, DPT)
NPI
1134559248
Phone
(732) 691-2508
Address
422 W GLEN TILT AVE
Enumeration Date
26 November 2013
Last Update Date
30 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6104630550
Graduation Year
2013 (13 years ago)
PAC ID
2769801000
Group Practice PAC ID
6709292535
Professional Enrollment ID
I20201006001114
Address ID
PA196103359WY2760XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

4,923 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

Provider Addresses for DR. MELISSA ANN BROAD (PT, DPT)

  • 422 W GLEN TILT AVE

    WERNERSVILLE, PA 195652301

    Phone: (732) 691-2508

    Type: Mailing

  • 2904 Route 37 E

    Toms River, NJ 087536120

    Phone: (732) 299-1993

    Fax: (732) 929-2510

    Type: Location

  • 3130 PRICETOWN RD STE B

    FLEETWOOD, PA 195228750

    Phone: (484) 577-4410

    Fax: (484) 577-4501

    Type: Location

  • 350 NEW FIDELITY CT

    GARNER, NC 275292665

    Phone: (570) 842-9323

    Fax: (570) 842-9362

    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: 2020-10-06

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
I20201006001114IPhysical Therapist In Private PracticePATBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes30650$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes30644$0
97140Therapy procedure using manual technique, each 15 minutes30044$0
97530Therapy procedure using functional activities26639$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care10416$0
View full utilization report →

Insurance plans in this area (ZIP 19565)

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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: 6709292535View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeDE
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

Where can patients find DR. MELISSA ANN BROAD (PT, DPT)'s NPI?
You can confirm DR. MELISSA ANN BROAD (PT, DPT) with NPI 1134559248; it appears in the national provider directory.
Is DR. MELISSA ANN BROAD (PT, DPT) active in the national directory?
DR. MELISSA ANN BROAD (PT, DPT)'s public NPI profile is in an active state.
What field does DR. MELISSA ANN BROAD (PT, DPT) work in?
You can think of DR. MELISSA ANN BROAD (PT, DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is DR. MELISSA ANN BROAD (PT, DPT)'s primary listing?
We display Wernersville, Pennsylvania because that is what the record indicates for DR. MELISSA ANN BROAD (PT, DPT).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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