Ms Lori Broderick, OTR - Medicare Occupational Therapist in Agawam, MA

  1. Home
  2. Occupational Therapists
  3. MA
  4. Agawam
Ms Lori Broderick, OTR is a medicare enrolled "Occupational Therapist" provider in Agawam, Massachusetts. Her current practice location is 61 Cooper St, Agawam, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 786-8000.

Ms Lori Broderick is licensed to practice in Florida (license number 20399) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295868909.

Contact Information

Ms Lori Broderick, OTR
61 Cooper St,
Agawam, MA 01001-2149
(413) 786-8000
(413) 789-2359

Map and Direction




Healthcare Provider's Profile

Full NameMs Lori Broderick
GenderFemale
SpecialityOccupational Therapist
Location61 Cooper St, Agawam, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295868909
  • Provider Enumeration Date: 03/13/2007
  • Last Update Date: 11/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0749548618
  • Enrollment ID: I20220204001461

Medical Identifiers

Medical identifiers for Ms Lori Broderick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295868909NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 3104 (Massachusetts)Secondary
225X00000XOccupational Therapist 20399 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Lori Broderick allows following entities to bill medicare on her behalf.
Provider NameLegacy Healthcare Services Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1336535988
PECOS PAC ID: 2163339722
Enrollment ID: O20150805009289
Provider NameEmpowerme Rehabilitation Florida, Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1184257602
PECOS PAC ID: 3274962790
Enrollment ID: O20200406000039

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Lori Broderick is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Lori Broderick, OTR
510 Woodford Dr,
Debary, FL 32713-2123

Ph: (413) 297-2921		Ms Lori Broderick, OTR
61 Cooper St,
Agawam, MA 01001-2149

Ph: (413) 786-8000

Reviews and Comments


Occupational Therapist in Agawam, MA

Bridget Mary Hughes, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 19 Scherpa St Apt B, Agawam, MA 01001
Phone: 401-286-9436    
Mrs. Kimberly Lynn Mirer, OTRL
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 61 Cooper St, Agawam, MA 01001
Phone: 413-786-8000    
Donna Ellen Dorans, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 464 Main St, Agawam, MA 01001
Phone: 413-786-8000    
Kimberly A Moran, OCCUPATIONAL THERAPY
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 65 Cooper St, Agawam, MA 01001
Phone: 413-786-8000    
Ms. Sharon Marie Dowd, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 464 Main St, Agawam, MA 01001
Phone: 413-786-8000    
Paul Francis Barsalou,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 61 Cooper St, Agawam, MA 01001
Phone: 413-786-8000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.