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

Lauren Broussard

Individual provider Physical Therapist · NPI 1619793338

Lauren Broussard is a Physical Therapist in Private Practice in Bluffton, South Carolina. Qualified in 2024, 2 years ago. Practices with Kitsap Physical Therapy and Sports Clinic Ps Inc, a 141-clinician group and accepts Medicare assignment. Licensed in Alabama and South Carolina.

Years since qualifying
2
Licensed in
AL, SC
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

38 Sheridan Park Cir Ste E
Bluffton, SC 29910-7023
Phone: (843) 757-5566
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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 PTH12105 (AL)
Physical Therapist Taxonomy 225100000X · Licence CPO37146T (SC)

Record details

NPI number1619793338
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 26, 2024
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024
Mailing address1297 Indiana Ave, Thorsby, AL 35171

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Kitsap Physical Therapy And Sports Clinic Ps Inc — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bluffton