Revajo S. Broadwater, PT
- Medicare patients, 2024
- 57
- Affiliated sites
- 1
- State license
- 1
- Year NPI issued
- 2006
- Practice address
- 3537 N Crossing Cir, Valdosta, GA 31602
- Practice phone
- Call (229) 333-0095
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Center for Physical Rehabilitation - Valdosta
Physical Therapy Clinic · Valdosta, Georgia
Find Revajo Broadwater's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Revajo S. Broadwater is a physical therapist in Valdosta, Georgia
Revajo Broadwater practices at Center for Physical Rehabilitation - Valdosta in Valdosta, Georgia.
Revajo Broadwater's NPI, 1023111317, was assigned on September 5, 2006. Revajo Broadwater holds Georgia license 1473.
- NPI
- 1023111317NPI Registry (opens in a new tab)
- Medicare PAC ID
- 8729179239
- NPI enumeration date
- September 5, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (229) 333-0095
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 46
- Medical school graduation
- 2006
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Revajo S. Broadwater practices at Center for Physical Rehabilitation - Valdosta in Valdosta, Georgia
Revajo Broadwater's primary practice is Center for Physical Rehabilitation - Valdosta, at 3537 N Crossing Cir, Valdosta, GA 31602. The practice phone is (229) 333-0095.
- Center for Physical Rehabilitation - Valdosta3537 N Crossing Cir, Valdosta, GA 31602Phone(229) 333-0095
Source: Dmand AI Affiliation Data
Revajo S. Broadwater is affiliated with 1 site of care
Revajo Broadwater's primary practice is Center for Physical Rehabilitation - Valdosta in Valdosta, Georgia. Revajo Broadwater's employer is on file too: a physical therapy & rehab clinic.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Revajo S. Broadwater's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Revajo Broadwater practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Center for Physical Rehabilitation - Valdosta | Available with a free account |
Source: Dmand AI Technology Install Data
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Revajo S. Broadwater is one of 2,999 physical therapists in Georgia
Physical therapist is Revajo Broadwater's primary specialty in the NPI Registry, under taxonomy code 225100000X. Revajo Broadwater is licensed in Georgia.
Specialties and state licenses
- Physical therapist, GeorgiaPrimary
Physical therapists near Revajo Broadwater
Counts of physical therapists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Revajo S. Broadwater treated 57 Medicare patients in 2024, average age 72
CMS counts 57 Medicare patients who saw Revajo Broadwater in 2024. The largest group is 65 to 74, with 37 patients. 75% of them have high cholesterol, and 72% have high blood pressure. Their average risk score is 1.03, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Revajo Broadwater's median patient age at 46, with 85% women.
Revajo Broadwater's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Revajo Broadwater's Medicare patients by sex, 2024
- Women4172%
- Men1628%
Chronic conditions among Revajo Broadwater's Medicare patients, 2024
- High cholesterol75%
- High blood pressure72%
- Arthritis67%
- Anxiety40%
- Diabetes35%
- Cancer25%
- Osteoporosis25%
- Chronic kidney disease23%
Share of Medicare patients with each condition. A patient can have several.
Revajo Broadwater's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 46
Patient panel by sex, all payers
- Women85%
- Men15%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
How Revajo S. Broadwater takes part in Medicare
Revajo Broadwater accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Revajo S. Broadwater's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Revajo S. Broadwater
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Revajo S. Broadwater's NPI number?
Revajo S. Broadwater's NPI number is 1023111317. It was assigned on September 5, 2006, and it is active in the NPI Registry.
What does Revajo S. Broadwater specialize in?
Revajo S. Broadwater is a physical therapist in Valdosta, Georgia. The primary specialty in the NPI Registry is Physical Therapist (taxonomy code 225100000X).
Where does Revajo S. Broadwater practice?
Revajo Broadwater practices at 3537 N Crossing Cir, Valdosta, GA 31602. Revajo Broadwater's primary practice is Center for Physical Rehabilitation - Valdosta in Valdosta, Georgia.
What is Revajo S. Broadwater's office phone number?
The practice phone on file for Revajo Broadwater is (229) 333-0095.
What is Revajo S. Broadwater's medical license number?
Revajo Broadwater holds Georgia license 1473.
Does Revajo S. Broadwater accept Medicare?
Yes. CMS lists Revajo Broadwater as accepting Medicare assignment.
How many Medicare patients does Revajo S. Broadwater see?
CMS counts 57 Medicare patients who saw Revajo Broadwater in 2024, with an average age of 72.
How long has Revajo S. Broadwater been practicing?
Revajo Broadwater graduated from medical school in 2006, 20 years ago.
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