Nicole Broderick, LMT
NPI 1396375747 · Massage Therapist · East Islip, NY
Nicole Broderick, LMT is a Massage Therapist provider in East Islip, NY (NPI 1396375747).
Provider details
- NPI number
- 1396375747
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 016018-1 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-01-23
- Last updated
- 2020-01-23
- Certified
- 2020-01-23
Frequently asked questions
- What is Nicole Broderick's NPI number?
- Nicole Broderick's National Provider Identifier (NPI) is 1396375747, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Broderick's specialty?
- Nicole Broderick is listed in the NPPES registry with a primary specialty of Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Nicole Broderick located?
- Nicole Broderick's practice location on file with NPPES is 99 E Main St Ste 1, East Islip, NY 11730-2538.
- What is Nicole Broderick's phone number?
- The practice phone number listed in the NPPES registry for Nicole Broderick is (631) 647-8324.
- Is Nicole Broderick's NPI active?
- Yes — Nicole Broderick's NPI (1396375747) is active in the NPPES registry as of the last update on 2020-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.