Broderick Peariso, PTA
NPI 1669727871 · Physical Therapy Assistant · Lansing, MI
Broderick Peariso, PTA is a Physical Therapy Assistant provider in Lansing, MI (NPI 1669727871).
Provider details
- NPI number
- 1669727871
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 5502001428 (MI)
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
14 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
- 2012-07-14
- Last updated
- 2012-07-14
Frequently asked questions
- What is Broderick Peariso's NPI number?
- Broderick Peariso's National Provider Identifier (NPI) is 1669727871, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Broderick Peariso's specialty?
- Broderick Peariso is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Broderick Peariso located?
- Broderick Peariso's practice location on file with NPPES is 3370 E Jolly Rd, Lansing, MI 48910-8552.
- What is Broderick Peariso's phone number?
- The practice phone number listed in the NPPES registry for Broderick Peariso is (517) 332-7246.
- Is Broderick Peariso's NPI active?
- Yes — Broderick Peariso's NPI (1669727871) is active in the NPPES registry as of the last update on 2012-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.