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

Brandon Joseph Broussard, DPT

Individual provider Physical Therapist · NPI 1730704073

Brandon Joseph Broussard, DPT is a Physical Therapist in Private Practice in Lake Charles, Louisiana. Qualified in 2020, 6 years ago. Practices with Southwest Louisiana Sports and Rehabilitation Center, LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
6
Licensed in
LA
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

208 W McNeese St
Lake Charles, LA 70605-5638
Phone: (337) 475-1053
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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 10612 (LA)

Record details

NPI number1730704073
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 12, 2020
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southwest Louisiana Sports And Rehabilitation Center, Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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