IndividualActive
Sanjuana Broden, PTA
NPI 1770748188 · Physical Therapy Assistant · Merrillville, IN
Provider details
- NPI number
- 1770748188
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 06002889A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
1221 W 56th Ave
Merrillville, IN 46410-1903
Phone: (219) 887-0063
Street-level locationGet directions
Mailing address
1221 W 56th Ave
Merrillville, IN 46410-1903
Registry dates
- Enumerated
- 2008-07-24
- Last updated
- 2008-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.