Doctor profile · Federal record
Dr. Jake Broccolo, DPT
Physical Therapist (CMS: Physical Therapist in Private Practice) · Physical Therapist · North Providence, RI
- NPI 1144709114
- Accepts Medicare
- MIPS 88.3 / 100 · 2023
- 8 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1401 Douglas Ave
North Providence, RI 029044058
(401) 726-7100 - Additional location
-
1295 Fall River Ave
Seekonk, MA 027715931
(508) 231-5944
fax (401) 433-0612 - Mailing address
-
4 Richmond Sq
Providence, RI 029065117
Credentials & registration
- NPI registered
- August 2018 — 8 yrs on file
- Profile last updated
- January 30, 2026
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State licenses (2)
- Rhode Island #PT03093 · Massachusetts #PTL88684
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1144709114. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,650
Distinct HCPCS
5
Medicare allowed
$73,564
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,067 | 98 | $23 | |
97530 |
Therapy procedure using functional activities | 807 | 94 | $35 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 425 | 75 | $21 | |
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 319 | 55 | $28 | |
97161 |
Evaluation for physical therapy, typically 20 minutes | 32 | 30 | $105 |
In context: peer comparison
Among 8 peers in North Providence Physical Therapist, average services per provider: 423. This provider delivers 6.3× the peer median.Frequently asked questions
What is Dr. Jake Broccolo's medical specialty?
Dr. Jake Broccolo practices Physical Therapist in North Providence, RI.
Where does Dr. Jake Broccolo practice?
Dr. Jake Broccolo practices at 1401 Douglas Ave, North Providence, RI 029044058. Office phone: 4017267100.
What is Dr. Jake Broccolo's NPI?
Dr. Jake Broccolo's National Provider Identifier (NPI) is 1144709114, issued by NPPES.
Does Dr. Jake Broccolo accept Medicare assignment?
Yes. Dr. Jake Broccolo accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jake Broccolo commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure using functional activities (HCPCS 97530); Therapy procedure using manual technique (HCPCS 97140). Source: CMS Medicare Physician & Other Practitioners file.