Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Azman Kirk Bravo, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1578648747

Azman Kirk Bravo, PHYSICALTHERAPIST is a Physical Therapist in Private Practice in Lafayette, Louisiana. Qualified in 1987, 39 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
39
Licensed in
LA
In the registry since
2006
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Practice location Address checks out

100 William O Stutes St Ste A
Lafayette, LA 70506-7211
Phone: (337) 406-0712
Fax: (337) 406-0715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 00979F (LA)

Record details

NPI number1578648747
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorYes
NPI enumeratedOctober 26, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lafayette