MRS. MARY ELIZABETH BROUSSARD B.A., B.S.
NPI 1386837953
Occupational Therapist in Lafayette, LA

Active since August 27, 2007
107 BRIARMEADOW DR, LAFAYETTE, LA 70508(337) 857-1331 Get Directions Write a Review

NPPES record last updated: August 27, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Mary Elizabeth Broussard B.a., B.s. NPPES

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

MRS. MARY ELIZABETH BROUSSARD B.A., B.S. (NPI 1386837953) is an individual occupational therapist in Lafayette, Louisiana, licensed in Louisiana (Z11181) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1386837953
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMRS. MARY ELIZABETH BROUSSARDCredential: B.A., B.S.
Location Address107 BRIARMEADOW DRLafayette, LA 70508-7210
Mailing Address107 Briarmeadow DrLafayette, LA 70508-7210 · (337) 857-1331
Sole ProprietorNo
Enumeration DateAugust 27, 2007
✔ NPI 1386837953 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
License✔ Licensed in LA · Z11181
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.
107 BRIARMEADOW DR, Lafayette, LA 70508

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary Elizabeth Broussard B.a., B.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Mary Broussard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
127 W BROAD ST, SUITE 850
Lake Charles, LA 70601
  • Reassigned Medicare billing, Louisiana enrollment
  • 77 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
88 services26 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
40 services20 patients
Training for self-care or home management, each 15 minutes 97535
This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.
30 services16 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
25 services16 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Broussard's NPI number?

The NPI number for Mary Broussard is 1386837953. It was assigned to this individual provider in the NPPES registry on August 27, 2007.

Where is Mary Broussard located?

Mary Broussard practices at 107 Briarmeadow Dr, Lafayette, LA 70508. The listed phone number is (337) 857-1331.

What is Mary Broussard's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Mary Broussard enrolled in Medicare?

Yes. Mary Broussard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Broussard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Broussard reassigns Medicare benefits to Synergy Care Southeast LLC (Lake Charles, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Broussard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Broussard was last updated on August 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.