BROUSSARD PHYSICAL THERAPY CLINIC, INC. (NPI# 1356478119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356478119 |
| Entity Type | Organization |
| Organization Name | BROUSSARD PHYSICAL THERAPY CLINIC, INC. |
| Practice Address |
295 Highland Dr Many LA 71449-3717 |
| Practice Telephone | 3182566285 |
| Practice Fax Number | 3182566658 |
| Mailing Telephone | 3182566285 |
| Mailing Fax Number | 3182566658 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES KEITH BROUSSARD (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 3182566285 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PT00257 | LA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | CIGNA I.D. # | 8882891 | 01 |
| LA | AETNA I.D. # | 7568170 | 01 |
| Street Address |
295 HIGHLAND DR |
| City | MANY |
| State | LA |
| Zip Code | 71449-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306821764 | James Keith Broussard | Physical Therapist | 295 Highland Dr, Many, LA 71449-3717 | 2005-12-08 |
| 1336269729 | Constance Faith Welcome | Contractor | 295 Highland Dr, Many, LA 71449-3717 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766563 | Bartley Enterprises | Pharmacy | 11634 Texas Hwy, Many, LA 71449 | 2020-10-02 |
| 1740836006 | Ltc Specialty LLC | Pharmacy | 536 Highway 171 Bypass, Many, LA 71449 | 2019-08-13 |
| 1134774144 | Hulin Urgent Care Services, LLC | Clinic/Center | 160 San Antonio Ave, Many, LA 71449 | 2019-08-06 |
| 1063965911 | Kristi Hammer | Counselor | 305 South Highland Dr, Many, LA 71449 | 2016-07-27 |
| 1477913374 | Kearstin Cooley | Physical Therapist | 326 Fisher Road, Many, LA 71449 | 2016-03-04 |
| 1861755167 | Frances Rose Strickland | Registered Nurse | 1230 W, La. Ave, Many, LA 71449 | 2012-06-21 |
| 1932404159 | Shelley Leanne Cartinez | Nurse Practitioner | 315 S. Highland Drive, Many, LA 71449 | 2011-01-19 |
| 1104134725 | Wal-mart Stores East Lp | Technician/Technologist | 25800 Hwy 171, Many, LA 71449 | 2010-09-16 |
| 1194031237 | Grace Ekanem Dinvaut | Nurse Practitioner | 1050 N Robinson St, Many, LA 71449 | 2010-08-26 |
| 1235314022 | Allegiance Hospital of Many, LLC | Clinic/Center | 395 South Capitol Street, Sabine Medical Center Rural Health Clinic #1, Many, LA 71449 | 2007-12-31 |
| Find all providers in zip 71449 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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|---|---|---|---|---|
| 1568088417 | Shanteau Sylvester | Specialist | 100 Handy Hill Rd, Mer Rouge, LA 71261-6900 | 2020-06-16 |
| 1346879335 | Donesa Walker | Specialist | 8856 Youree Dr Ste D, Shreveport, LA 71115-2514 | 2020-04-02 |
| 1194363317 | Dorothy Morton | Specialist | 2720 Cedarlawn Dr, Marrero, LA 70072-5414 | 2019-12-18 |
| 1083251086 | Total Medical Billing and Healthcare Services LLC | Specialist | 5836 S Oak Dr, Marrero, LA 70072-5257 | 2019-12-09 |
| 1942863337 | Big Easy Podiatry LLC | Specialist | 3600 Prytania St Ste 75, New Orleans, LA 70115-3674 | 2019-04-21 |
| 1801369855 | Juequita Lashawn Wicker | Specialist | 3180 Convention St Ste B, Baton Rouge, LA 70806-3711 | 2019-01-02 |
| 1164991899 | Hip Hop Barbers, LLC | Specialist | 5709 Hollywood Crossover St, Baton Rouge, LA 70805 | 2018-11-26 |
| 1447749304 | Kelly E Rachal, Dvm | Specialist | 4445 Youree Dr, Shreveport, LA 71105-3618 | 2018-05-07 |
| 1710480736 | Schnell Surgical Services LLC. | Specialist | 3117 Saint Rene St, Metairie, LA 70001-4137 | 2018-03-15 |
| 1841707031 | Jonnika D Allen | Specialist | 3868 Irwin Kuntz Dr, Harvey, LA 70058-2129 | 2018-01-09 |
| Find all providers with the same taxonomy | ||||
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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.