Active NPI
Andrea Brasseaux, PT, DPT
- Physical Therapist
- Lake Charles, LA
National Provider Identifier
1851258081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11021
- Practice address
- 313 Vanessa Ave
Lake Charles, LA 70605-6835 - Phone
- (337) 661-1935
- NPI assigned
- Jan 8, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11021 | LA | Primary |
Addresses
Primary practice location
313 Vanessa Ave
Lake Charles, LA 70605-6835
Mailing address
313 Vanessa Ave
Lake Charles, LA 70605-6835
Phone (337) 661-1935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11021 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767830400000",
"number": "1851258081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 VANESSA AVE",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706056835",
"telephone_number": "337-661-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 VANESSA AVE",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706056835",
"telephone_number": "337-661-1935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRASSEAUX",
"first_name": "ANDREA",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-08",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "LA",
"license": "11021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.