Jake Broccolo, DPT
NPI 1144709114 · Physical Therapist · North Providence, RI
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jake Broccolo, DPT is a Physical Therapist provider in North Providence, RI (NPI 1144709114).
Provider details
- NPI number
- 1144709114
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- PTL88684 (MA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,686 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 581 | $22 |
| Therapy Procedure Using Functional Activities97530 | 511 | $33 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 366 | $20 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 209 | $27 |
| Evaluation for Physical Therapy, Typically 20 Minutes97161 | 19 | $102 |
Typical Medicare-allowed amounts for these services range $20–$102 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 1295 Fall River AveSeekonk, MA 02771-5931Phone: (508) 231-5944Fax: (401) 433-0612
Registry dates
- Enumerated
- 2018-08-10
- Last updated
- 2026-01-30
- Certified
- 2026-01-30
Frequently asked questions
- What is Jake Broccolo's NPI number?
- Jake Broccolo's National Provider Identifier (NPI) is 1144709114, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jake Broccolo's specialty?
- Jake Broccolo is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jake Broccolo located?
- Jake Broccolo's practice location on file with NPPES is 1401 Douglas Ave, North Providence, RI 02904-4058.
- What is Jake Broccolo's phone number?
- The practice phone number listed in the NPPES registry for Jake Broccolo is (401) 726-7100.
- Does Jake Broccolo accept Medicare?
- Jake Broccolo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jake Broccolo's NPI active?
- Yes — Jake Broccolo's NPI (1144709114) is active in the NPPES registry as of the last update on 2026-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.