Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAUREN ELIZABETH BROUSSARD
NPI 1619793338
Physical Therapist in Wilmington, NC

Active since November 26, 2024
1800 SIR TYLER DR STE 100, WILMINGTON, NC 28405(910) 782-2150 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lauren Elizabeth Broussard NPPES

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

LAUREN ELIZABETH BROUSSARD (NPI 1619793338) is an individual physical therapist in Wilmington, North Carolina, licensed in North Carolina (P25304) and active in the NPI registry since November 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1619793338
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameLAUREN ELIZABETH BROUSSARD
Location Address1800 SIR TYLER DR STE 100Wilmington, NC 28405-8305
Mailing Address1297 Indiana AveThorsby, AL 35171-8149 · (205) 217-9091
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 26, 2024
Last NPPES UpdateOctober 22, 2026
NPPES CertifiedOctober 22, 2026
✔ NPI 1619793338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NC · P25304
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1800 SIR TYLER DR STE 100, Wilmington, NC 28405

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lauren Elizabeth Broussard is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911420955
PECOS Enrollment IDI20250331001513

Medicare Billing Reassignment

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

Physical Therapist
2400 NW MYHRE RD STE 101
Silverdale, WA 98383
  • Reassigned Medicare billing, Washington enrollment
  • 208 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.

Other Providers at the Same Location NPPES 2

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

Physical Therapist
1800 SIR TYLER DR STE 100
WILMINGTON, NC 28405
Physical Therapist
1800 SIR TYLER DR STE 100
WILMINGTON, NC 28405

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 Lauren Broussard's NPI number?

The NPI number for Lauren Broussard is 1619793338. It was assigned to this individual provider in the NPPES registry on November 26, 2024.

Where is Lauren Broussard located?

Lauren Broussard practices at 1800 Sir Tyler Dr Ste 100, Wilmington, NC 28405. The listed phone number is (910) 782-2150.

What is Lauren Broussard's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Lauren Broussard enrolled in Medicare?

Yes. Lauren Broussard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lauren Broussard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Broussard reassigns Medicare benefits to Kitsap Physical Therapy And Sports Clinic Ps Inc (Silverdale, WA). 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 Lauren 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 Lauren Broussard was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.