Organization Active NPI

Trent Matthew Brasseaux, PT LLC

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1205627700
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TRENT MATTHEW BRASSEAUX, PT LLC
Practice address
431 Rena Dr
Lafayette, LA 70503-4351
Phone
(337) 443-9880
Fax
(337) 443-9881
NPI assigned
May 14, 2025
Last updated
May 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Trent Matthew Brasseaux, PT, DPTNPI 1245744929
Title
Owner/Physical Therapist
Phone
(337) 443-9880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

431 Rena Dr
Lafayette, LA 70503-4351

Mailing address

431 Rena Dr
Lafayette, LA 70503-4351
Phone (337) 443-9880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250717001360 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2163937111 Receives reassigned benefits from 1 practitioner
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

431 Rena Dr
Lafayette, LA 70503
Phone (337) 443-9880

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1205627700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 RENA DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034351",
            "telephone_number": "337-443-9880",
            "fax_number": "337-443-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 RENA DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034351",
            "telephone_number": "337-443-9880",
            "fax_number": "337-443-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRENT MATTHEW BRASSEAUX, PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "BRASSEAUX",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "337-443-9880",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.