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

Dr. Kelly M Broussard, DPT

Individual provider Physical Therapist · NPI 1801433958

Dr. Kelly M Broussard, DPT is a Physical Therapist in Private Practice in Leland, North Carolina. Graduated from Drexel University College of Medicine in 2018, 8 years ago. Practices with Emergeortho PA, a 724-clinician group and accepts Medicare assignment. Licensed in Maryland and North Carolina.

Years since qualifying
8
Trained at
Drexel University College of Medicine
Licensed in
MD, NC
In the registry since
2019
Specialties on file
2
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

1168 E Cutlar Xing
Leland, NC 28451-6484
Phone: (919) 332-3800
Fax: (919) 251-0421
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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 P18088 (NC)
Physical Therapist Taxonomy 225100000X · Licence 27089 (MD)

Record details

NPI number1801433958
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedDecember 9, 2019
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Emergeortho Pa — 724 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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