NPIMap

Organization Active NPI

John Broussard Enterprises LLC

Doing business as Onward Lafayette

  • Physical Therapy Clinic/Center
  • Lafayette, LA
National Provider Identifier
1518530401
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
JOHN BROUSSARD ENTERPRISES LLC
Doing business as
Onward Lafayette
Practice address
101 Newcastle Dr
Lafayette, LA 70503-4207
Phone
(337) 257-2311
NPI assigned
Jul 20, 2021
Last updated
Jul 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Authorized official

Name
Dr. John J Broussard, PT, DPTNPI 1033645494
Title
Owner
Phone
(337) 257-2311

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

101 Newcastle Dr
Lafayette, LA 70503-4207

Mailing address

101 Newcastle Dr
Lafayette, LA 70503-4207

Other names 1

  • Onward Lafayette Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Lafayette

National Provider Directory

National Provider Directory

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": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1518530401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NEWCASTLE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NEWCASTLE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034207",
            "telephone_number": "337-257-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN BROUSSARD ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-257-2311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lafayette",
            "affiliation": "N",
            "address_1": "101 Newcastle Dr",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705034207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Onward Lafayette",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 20, 2021; 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.