NPPES file of Aug 9, 2026

Nicole Irene Broderick, LMT

Massage Therapist · East Islip, NY

Nicole Irene Broderick, LMT is a massage therapist with a practice address in East Islip, New York, and NPI 1396375747, issued on Jan 23, 2020. Check the license (New York 016018-1, as entered in NPPES) with the New York board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1396375747
Name
Nicole Broderick
Credential
LMT
Primary taxonomy
Massage Therapist 225700000X
License number
016018-1 NY
Self-reported in NPPES; status is on the state search
Practice location
99 E Main St Ste 1, East Islip, NY 11730
Phone
(631) 647-8324
Enumerated
Jan 23, 2020
Record last updated
Jan 23, 2020 (not updated in 6 years: call before relying on the address or phone)
Fax
(631) 352-0051
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 99 E Main St Ste 1

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. John Vassallo, ACUPUNCTURISTAcupuncturist1851764195

Verify Nicole Broderick in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New York board licenses this profession
    Search for license 016018-1
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
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7 massage therapist records list a practice address in East Islip

They are 7 of the 355 NPPES records with a practice address in East Islip, and 3,887 massage therapist records in New York. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

Other massage therapist records in New York

  1. Michelle Ababurko, LMTAmherst, NY1982188488
  2. Andrew Abbott, LMTMattydale, NY1427778745
  3. Louanne Abelquist, LMTPort Jefferson, NY1255465704
  4. Laura AboodNyack, NY1578149035
  5. Michelle AbrahamWest Seneca, NY1558129353
  6. Charles Abramo, L M TMonroe, NY1104871466
  7. Susan AbramsIthaca, NY1366418527
  8. Melissa AbreuNew York, NY1184494379
  9. Sherley Accime, LMTBrooklyn, NY1700662640
  10. Richard Acevedo, FF,LMTStaten Island, NY1265011233

Common questions

What is Nicole Irene Broderick, LMT's NPI number?

Nicole Irene Broderick, LMT's National Provider Identifier (NPI) is 1396375747, issued on Jan 23, 2020. An NPI identifies a provider in billing; it is not a license.

Where is Nicole Irene Broderick, LMT located?

The NPPES record lists a practice address at 99 E Main St Ste 1, East Islip, NY, 11730. Phone: (631) 647-8324. Providers update this record themselves, so call before visiting.

How can I verify Nicole Irene Broderick, LMT's license?

NPPES lists New York license number 016018-1, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.