Bravo Therapy Services, Inc.

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

BRAVO THERAPY SERVICES, INC.

Practice address

100 William O Stutes St
Suite a
Lafayette, LA 70506-7211

Phone

(337) 406-0712

Fax

(337) 406-0715

NPI assigned

Feb 22, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kirk Bravo

Title

Owner President

Phone

(337) 406-0712

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Azman Kirk Bravo, PHYSICAL THERAPIST

  • Physical Therapist
  • Lafayette, LA
  • NPI 1578648747
  Medicare reassignment NPD
• Jacqueline Bravo, P.T.

  • Physical Therapist
  • Lafayette, LA
  • NPI 1417083320
  Medicare reassignment NPD
• Dawn Angela Rouse, P.T.

  • Physical Therapist
  • Brevard, NC
  • NPI 1326040270
  NPD
• Abby Aucoin, SLP

  • Speech-Language Pathologist
  • Lafayette, LA
  • NPI 1073640827
  NPD (past)
• Beth A Deloach, OT

  • Occupational Therapist
  • Lafayette, LA
  • NPI 1740300474
  NPD (past)
• April Foreman Domingue, LOTR

  • Occupational Therapist
  • Lafayette, LA
  • NPI 1750539136
  NPD (past)
• Eric Keith Fontenot, PT

  • Physical Therapist
  • Port Barre, LA
  • NPI 1255587994
  NPD (past)
• Randy Gomez, PT

  • Physical Therapist
  • Lafayette, LA
  • NPI 1942320569
  NPD (past)
• Jill Hurley, COTR,CHT

  • Occupational Therapist
  • Lafayette, LA
  • NPI 1407856008
  NPD (past)
• Holly B Mire, OT

  • Occupational Therapist
  • Duson, LA
  • NPI 1881713048
  NPD (past)
• Anne Peltier, O.T.

  • Occupational Therapist
  • Broussard, LA
  • NPI 1831225457
  NPD (past)
• Aimee Prejean

  • Speech-Language Pathologist
  • Lafayette, LA
  • NPI 1497871040
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1043345747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILLIAM O STUTES ST",
            "address_2": "SUITE A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705067211",
            "telephone_number": "337-406-0712",
            "fax_number": "337-406-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILLIAM O STUTES ST",
            "address_2": "SUITE A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705067211",
            "telephone_number": "337-406-0712",
            "fax_number": "337-406-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "337-406-0712",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "F7950",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Champagne Brasseaux, SLP
• Destiny Michelle Brasseaux
• Natalie B Brasseaux, D.D.S.
• Rachael Marie Brasseaux, RN
• Trent Matthew Brasseaux, PT, DPT
• Azman Kirk Bravo, PHYSICAL THERAPIST
• Jacqueline Bravo, P.T.
• Lynda Kay Bray, LCSW
• Stephanie Brazzle
• Breast Center of Acadiana, a Professional Medical Corporation

• Massage Therapist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Massage Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.