Mary Elizabeth Broussard, LOTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTT.200486 Issued in LA

Practice address

2655 N. Causeway Blvd Suite D
Integrative Touch Pediatric Occupational Therapy
Mandeville, LA 70471

Phone

(985) 871-6777

Fax

(985) 871-6777

NPI assigned

Dec 11, 2013

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

Enrolled in LA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hope Therapy Center, LLCGroup PAC ID 9931275377, 12 clinicians

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 and National Provider Directory roles.

• Hope Therapy Center, LLC

  • Physical Therapist
  • Lake Charles, LA
  • NPI 1669635199

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Integrative Touch Pediatric Occupational Therapy Services, LLC

  • Medical Specialty Clinic/Center
  • Luling, LA
  • NPI 1073968632
  NPD (past)
• Integrative Touch Pediatric Occupational Therapy, LLC

  • Occupational Therapist
  • Westwego, LA
  • NPI 1316114218
  NPD (past)

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1801227210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4899 WESTBANK EXPY SUITE D",
            "address_2": "INTEGRATIVE TOUCH PEDIATRIC OCCUPATIONAL THERAPY",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-341-7300",
            "fax_number": "504-328-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 N. CAUSEWAY BLVD SUITE D",
            "address_2": "INTEGRATIVE TOUCH PEDIATRIC OCCUPATIONAL THERAPY",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70471",
            "telephone_number": "985-871-6777",
            "fax_number": "985-871-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LOTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT.200486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Labourdette Brignac, LPC-S
• Terri Brignac, LPC, LMFT
• Broadus Chiropractic Services, LLC
• Brandon Matthew Broadus, D.C.
• Jessica M Brock
• Blakely Lauren Brown-Warren, CAC
• Darrel Lee Brown, CFA PA
• Eryn McCall Brown, DC
• Gerald Brent Brown, D. D. S.
• Joshua Brown

• Occupational Therapist in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.