DEBRA LYNN BRODERICK – Physical Therapy Assistant, NPI 1417371840

DEBRA LYNN BRODERICK is a healthcare provider. based in Moultrie, Georgia. specializing in Physical Therapy Assistant. They hold a License No. PTA003216 (GA). The NPI Number for DEBRA LYNN BRODERICK is 1417371840

Main info

Female
Name
DEBRA LYNN BRODERICK
NPI
1417371840
Phone
(229) 985-2080
Address
300 SUNSET CIR
Enumeration Date
5 February 2014
Last Update Date
28 June 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

Provider Addresses for DEBRA LYNN BRODERICK

  • 300 SUNSET CIR

    MOULTRIE, GA 317686934

    Phone: (229) 985-2080

    Fax: (229) 890-3397

    Type: Location

  • 4099 SPAIN FERRY RD

    VALDOSTA, GA 316019119

    Phone: (229) 561-4767

    Fax: (229) 890-3397

    Type: Mailing

  • 2410 W PLAZA DR

    TALLAHASSEE, FL 323085325

    Phone: (850) 385-6185

    Fax: (850) 385-2580

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31768)

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Reviews

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Frequently asked questions

How do I look up DEBRA LYNN BRODERICK by NPI?
Use NPI 1417371840 when you need to reference DEBRA LYNN BRODERICK in forms, claims, or directories.
Does this profile mean DEBRA LYNN BRODERICK is currently active?
Yes — DEBRA LYNN BRODERICK appears active in the national provider directory.
What does DEBRA LYNN BRODERICK treat or focus on?
Patients typically see DEBRA LYNN BRODERICK under the specialty Physical Therapy Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place DEBRA LYNN BRODERICK?
The snapshot lists Moultrie, Georgia for DEBRA LYNN BRODERICK; download NPPES for the complete set.
Is DEBRA LYNN BRODERICK a real provider?
This page reflects official NPPES data for NPI 1417371840. Always confirm identity and privileges with the practice and licensing boards.

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