Trent Matthew Brasseaux, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

09617 Issued in LA

Practice address

233 Doucet Rd Ste B2
Lafayette, LA 70503-3403

Phone

(337) 991-9972

NPI assigned

Nov 16, 2017

Last updated

Nov 16, 2017By the provider in NPPES

Sex

Male

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

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Trent Matthew Brasseaux, PT LLC

  • Physical Therapist
  • Lafayette, LA
  • NPI 1205627700
  Medicare reassignment NPD Authorized official
• Tri City Physical Therapy, Inc.

  • Physical Therapist
  • Lafayette, LA
  • NPI 1871543918
  Medicare reassignment NPD
• River Region Rehab, LLC

  dba PT Solutions of Louisiana

  • Physical Therapist
  • Luling, LA
  • NPI 1407829252
  NPD (past)

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1245744929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 MARILYN DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034031",
            "telephone_number": "337-349-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 DOUCET RD STE B2",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033403",
            "telephone_number": "337-991-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASSEAUX",
        "first_name": "TRENT",
        "middle_name": "MATTHEW",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Brasley
• Alison Champagne Brasseaux, SLP
• Destiny Michelle Brasseaux
• Natalie B Brasseaux, D.D.S.
• Rachael Marie Brasseaux, RN
• Bravo Therapy Services, Inc.
• Azman Kirk Bravo, PHYSICAL THERAPIST
• Jacqueline Bravo, P.T.
• Lynda Kay Bray, LCSW
• Stephanie Brazzle

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.