JOHN BROUSSARD (NPI# 1548462898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548462898 |
| Entity Type | Individual |
| Full Name | JOHN BROUSSARD |
| Credential | PT |
| Practice Address |
4412 N Davis Hwy Pensacola FL 32503-2756 |
| Practice Telephone | 8504304250 |
| Mailing Telephone | 8504304250 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2013-06-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT781 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013271196 | John Robert Broussard | Counselor | 2711 Edgewood Dr, Placerville, CA 95667-3409 | 2012-07-03 |
| 1174839161 | John Broussard | Family Medicine | 111 2nd Ave Ne Ste 1401, St Petersburg, FL 33701-3480 | 2010-08-27 |
| 1750696639 | John Edward Broussard | Pharmacist | 105 Cities Service Hwy, Sulphur, LA 70663-5419 | 2010-08-16 |
| 1326509977 | John Broussard | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave # 8679, New Orleans, LA 70112-2632 | 2019-03-27 |
| 1033645494 | John Joseph Broussard | Physical Therapist | 2115 Dulles Dr, Lafayette, LA 70506-2652 | 2017-05-04 |
| 1063648889 | John Broussard | Physical Therapist | 620 N Morrison Blvd Ste G, Hammond, LA 70401-2312 | 2009-06-08 |
| 1992844476 | John King Broussard | Psychologist | 1600 Airport Fwy, Suite 322, Bedford, TX 76022-6850 | 2007-02-05 |
| Street Address |
4412 N DAVIS HWY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508068875 | Belinda Renee Anderson | Physical Therapist | 4412 N Davis Hwy, Pensacola, FL 32503-2756 | 2007-05-31 |
| 1598316648 | Lauren Shipman | Specialist/Technologist | 4412 N Davis Hwy, Pensacola, FL 32503-2756 | 2019-09-20 |
| 1275015075 | Silento Brown II | Physical Therapy Assistant | 4412 N Davis Hwy, Pensacola, FL 32503-2756 | 2018-08-29 |
| 1487158358 | Bryan Allen Estep | Physical Therapy Assistant | 4412 N Davis Hwy, Pensacola, FL 32503-2756 | 2018-03-23 |
| 1902357080 | Michael Farrenkopf | Physical Therapist | 4412 N Davis Hwy, Pensacola, FL 32503-2756 | 2016-10-24 |
| 1124488341 | Amy Hayes | Physical Therapy Assistant | 4412 N Davis Hwy, Pensacola, FL 32503-2756 | 2016-03-01 |
| 1982941134 | Eric James Cameron | Physical Therapist | 4412 N Davis Hwy, Pensacola, FL 32503-2756 | 2013-01-08 |
| 1194981522 | Susan Grace Sill | Physical Therapy Assistant | 4412 N Davis Hwy, Pensacola, FL 32503-2756 | 2008-08-05 |
| 1346442845 | E Bruce Brock Jr. | Physical Therapist | 4412 N Davis Hwy, Pensacola, FL 32503-2756 | 2007-06-05 |
| 1972705168 | Russell Poerner | Physical Therapist | 4412 N Davis Hwy, Pensacola, FL 32503-2756 | 2007-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482876 | Courtney Deason | Physical Therapist | 2156 W Nine Mile Rd Ste D, Pensacola, FL 32534-9464 | 2020-09-22 |
| 1619582855 | Hailey Marie Bates Vannoy | Physical Therapist | 4925 Grande Dr Fl 2, Pensacola, FL 32504-8965 | 2020-09-14 |
| 1396389649 | Cortney Hays | Physical Therapist | 12601 Sorrento Rd Ste A, Pensacola, FL 32507-8762 | 2019-10-30 |
| 1427609288 | Michael A Pannell | Physical Therapist | 13137 Sorrento Rd Ste C, Pensacola, FL 32507-8777 | 2019-09-24 |
| 1578043436 | Monique E Starke | Physical Therapist | 4301 Devereux Dr, Pensacola, FL 32504-7813 | 2018-08-20 |
| 1578085254 | Mary Holland Hegarty | Physical Therapist | 1000 W, Moreno St, Pensacola, FL 32501 | 2017-07-13 |
| 1134641012 | Kaydee Anne Zimmern | Physical Therapist | 165 E Intendencia St Ste 200, Pensacola, FL 32502-5805 | 2017-07-12 |
| 1225563182 | Amy Simonetta | Physical Therapist | 922 E Bobe St, Pensacola, FL 32503-3962 | 2017-04-27 |
| 1811432990 | Francisco Tangan Jr. | Physical Therapist | 8610 Eight Mile Creek Rd, Pensacola, FL 32526-8758 | 2016-12-28 |
| 1730622218 | Justine Williams | Physical Therapist | 1108 Airport Blvd Ste C, Pensacola, FL 32504-8623 | 2016-12-01 |
| Find all providers in PENSACOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.