JESSICA FORD BROUSSARD (NPI# 1134319544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134319544 |
| Entity Type | Individual |
| Full Name | JESSICA FORD BROUSSARD |
| Credential | OTR/L |
| Practice Address |
1005 E 23rd St Suite 200 Fremont NE 68025-0800 |
| Mailing Address |
7117 Glendale St Metairie LA 70003-3103 |
| Practice Telephone | 8667842329 |
| Mailing Telephone | 5043434926 |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172M00000X | Mechanotherapist | Z11945 | LA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739832 | Jessica Clare Broussard | Dietitian, Registered | 1297 Indiana Ave, Thorsby, AL 35171-8149 | 2020-08-06 |
| 1306395462 | Jessica Broussard | Specialist/Technologist, Other | 16131 N Eldridge Pkwy Ste 200, Tomball, TX 77377-9130 | 2016-09-29 |
| 1629450556 | Jessica Broussard | Nurse Practitioner | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2015-06-27 |
| Street Address |
1005 E 23RD ST SUITE 200 |
| City | FREMONT |
| State | NE |
| Zip Code | 68025-0800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831306539 | Bror Christer Ljungqvist | Physical Therapist | 1005 E 23rd St, Suite 200, Fremont, NE 68025-0800 | 2007-05-16 |
| 1740643402 | Ashley Currier | Physical Therapist | 1005 E 23rd St, Suite 200, Fremont, NE 68025-0800 | 2016-03-31 |
| 1992171862 | Kelli Hatcher | Contractor | 1005 E 23rd St, Suite 200, Fremont, NE 68025-0800 | 2015-08-14 |
| 1558745034 | Susan Kay Pena | Occupational Therapist | 1005 E 23rd St, Suite 200, Fremont, NE 68025-0800 | 2015-07-15 |
| 1770983942 | Anne Jensvold | Speech-Language Pathologist | 1005 E 23rd St, Ste 200, Fremont, NE 68025-0800 | 2014-08-25 |
| 1588089452 | Charlene Gray | Occupational Therapist | 1005 E 23rd St, Suite 200, Fremont, NE 68025-0800 | 2014-02-28 |
| 1982034062 | Abigail Rassat | Physical Therapist | 1005 E 23rd St, Suite 200, Fremont, NE 68025-0800 | 2013-11-26 |
| 1023450137 | Great Plains Dental Specialists P.C. | Dentist | 1005 E 23rd St, Suite 202, Fremont, NE 68025-0800 | 2013-07-18 |
| 1518304526 | Rachel Lovato | Respiratory Therapist, Registered | 1005 E 23rd St, Suite 200, Fremont, NE 68025-0800 | 2013-05-30 |
| 1639424401 | Corey Knierim | Occupational Therapy Assistant | 1005 E 23rd St, Fremont, NE 68025-0800 | 2012-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
| 1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
| 1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
| 1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
| 1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
| 1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
| 1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
| 1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
| 1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
| 1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
| Find all providers in zip 68025 | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023569936 | Dan Hanneman | Mechanotherapist | 3015 S 119th St, Omaha, NE 68144-4513 | 2016-10-17 |
| 1447505508 | Sue Ann Whitney | Mechanotherapist | 90243 Hatchery Rd, Valentine, NE 69201-1646 | 2012-07-16 |
| 1366764102 | Teresa Yvonne Kleeb | Mechanotherapist | 738 S C St, Broken Bow, NE 68822-2031 | 2010-02-22 |
| 1942752605 | Kelly H. Hanneman | Mechanotherapist | 3015 S 119th St, Omaha, NE 68144-4513 | 2016-10-28 |
| 1124343819 | Michele Ann Fehringer | Mechanotherapist | 3763 39th Ave, Suite 100, Columbus, NE 68601-4504 | 2010-04-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.