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

Brian Paul Broussard, DPT

Individual provider Sports Physical Therapist · NPI 1750809448

Brian Paul Broussard, DPT is a Sports Physical Therapist in St Petersburg, Florida. Works from 3 locations. Licensed in Florida and Virginia.

Licensed in
FL, VA
In the registry since
2017
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

111 2nd Ave NE Ste 1401
St Petersburg, FL 33701-3480
Phone: (727) 258-7224
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 15049 Bruce B Downs Blvd, Tampa, FL 33647-1388 — (813) 563-7668
  • 2751 Prosperity Ave, Fairfax, VA 22031-4397 — (703) 237-3930

Specialties & licences

Sports Physical Therapist (primary) Taxonomy 2251S0007X · Licence PT34062 (FL)
Sports Physical Therapist Taxonomy 2251S0007X · Licence 1679719421 (VA)

Record details

NPI number1750809448
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 2, 2017
Last updated in NPPESJune 9, 2021
Certification dateFebruary 9, 2021
Mailing address111 2nd Ave Ne Ste 1401, St Petersburg, FL 33701-3480

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