Katrina D Broussard

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

07978 Issued in LA

Practice address

10343 Siegen LN
Baton Rouge, LA 70810-4979

Phone

(225) 767-4440

Fax

(225) 767-4441

NPI assigned

Nov 22, 2010

Last updated

Nov 22, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dutch Physical Therapy, Inc.

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1003917550
  NPD (past)
• Lewy Physical Therapy Inc

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1154324242
  NPD (past)

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1043512239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5627 BANKERS AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708082610",
            "telephone_number": "225-927-3000",
            "fax_number": "225-927-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10343 SIEGEN LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708104979",
            "telephone_number": "225-767-4440",
            "fax_number": "225-767-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "KATRINA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "07978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerard J. Broussard, MD
• Jaycee Broussard
• Jill Broussard, PT
• Joan Broussard, PHARM.D.
• Justin Broussard
• Kennedy Broussard, LMSW
• Kristen Files Broussard, FNP-C
• Kristy Smith Broussard, NNP
• Lauren Causey Broussard, NP
• Malcolm J Broussard

• Orthopedic Physical Therapist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Orthopedic Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.