Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Gerard Broderick, DPT

Individual provider Physical Therapist · NPI 1083139216

Michael Gerard Broderick, DPT is a Physical Therapist in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2017.

Licensed in
GA
In the registry since
2017
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

17 Executive Park Dr NE Ste 680
Atlanta, GA 30329-2227
Phone: (404) 364-9551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT013003 (GA)

Record details

NPI number1083139216
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 9, 2017
Last updated in NPPESAugust 9, 2017

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