MARY BALLARD BROUSSARD OTR
NPI 1154892982
Occupational Therapist in Conroe, TX

Active since December 05, 2018
704 LONGMIRE RD STE 101, CONROE, TX 77304(985) 373-8018 Get Directions Write a Review

NPPES record last updated: December 5, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Ballard Broussard Otr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY BALLARD BROUSSARD OTR (NPI 1154892982) is an individual occupational therapist in Conroe, Texas, licensed in Texas (119236) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1154892982
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMARY BALLARD BROUSSARDCredential: OTR
Location Address704 LONGMIRE RD STE 101Conroe, TX 77304-1850
Mailing Address805 Yellow Birch LnConroe, TX 77304-1993 · (985) 373-8018
Sole ProprietorNo
Enumeration DateDecember 5, 2018
NPI 1154892982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Licenses Licensed in TX · 119236 Licensed in LA · OTT.200764
Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

704 LONGMIRE RD STE 101, Conroe, TX 77304

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
704 LONGMIRE RD STE 101
CONROE, TX 77304
Occupational Therapist
704 LONGMIRE RD STE 101
CONROE, TX 77304
Occupational Therapy Assistant
704 LONGMIRE RD STE 101
CONROE, TX 77304
Occupational Therapy Assistant
704 LONGMIRE RD STE 101
CONROE, TX 77304
Speech-Language Pathologist
704 LONGMIRE RD STE 101
CONROE, TX 77304
Occupational Therapist
704 LONGMIRE RD STE 101
CONROE, TX 77304
Speech-Language Pathologist
704 LONGMIRE RD STE 101
CONROE, TX 77304
Occupational Therapist (Pediatrics)
704 LONGMIRE RD STE 101
CONROE, TX 77304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154892982, enumerated as an "individual" on December 05, 2018.

The provider is located at 704 LONGMIRE RD STE 101 CONROE, TX 77304 and the phone number is (985) 373-8018.

Occupational Therapist with taxonomy code 225X00000X.