KANON BROUSSARD
NPI 1639521172
Physical Therapist in Huntersville, NC

Active since July 08, 2016Accepts Medicare Assignment
16405 NORTHCROSS DR, SUITE G-2, HUNTERSVILLE, NC 28078(866) 214-9644 Get Directions Write a Review

NPPES record last updated: July 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kanon Broussard NPPES

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

KANON BROUSSARD (NPI 1639521172) is an individual physical therapist in Huntersville, North Carolina, licensed in Louisiana (09393) and active in the NPI registry since July 2016. He is a graduate of Other (2016).

NPPES Registry Identity

NPI1639521172
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameKANON BROUSSARD
Location Address16405 NORTHCROSS DR, SUITE G-2Huntersville, NC 28078-5091
Mailing Address16405 Northcross Dr, Suite G-2Huntersville, NC 28078-5091 · (866) 214-9644
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 8, 2016
NPI 1639521172 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 LA · 09393
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.
16405 NORTHCROSS DR, Huntersville, NC 28078

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kanon 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 ID6901246156
PECOS Enrollment IDI20240503003484

Areas of Expertise CMS Part B claims 2

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 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.
25 services11 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.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28078 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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
16405 NORTHCROSS DR, SUITE G-2
HUNTERSVILLE, NC 28078
Occupational Therapy Assistant
16405 NORTHCROSS DR, SUITE G-2
HUNTERSVILLE, NC 28078
Physical Therapist
16405 NORTHCROSS DR, SUITE G-2
HUNTERSVILLE, NC 28078
Physical Therapist
16405 NORTHCROSS DR, STE G-2
HUNTERSVILLE, NC 28078
Physical Therapy Assistant
16405 NORTHCROSS DR
HUNTERSVILLE, NC 28078
Occupational Therapy Assistant
16405 NORTHCROSS DR, SUITE G-2
HUNTERSVILLE, NC 28078
Physical Therapy Assistant
16405 NORTHCROSS DR, SUITE G-2
HUNTERSVILLE, NC 28078
Occupational Therapy Assistant
16405 NORTHCROSS DR, STE G-2
HUNTERSVILLE, NC 28078

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 Kanon Broussard's NPI number?

The NPI number for Kanon Broussard is 1639521172. It was assigned to this individual provider in the NPPES registry on July 8, 2016.

Where is Kanon Broussard located?

Kanon Broussard practices at 16405 Northcross Dr Suite G-2, Huntersville, NC 28078. The listed phone number is (866) 214-9644.

What is Kanon Broussard's specialty?

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

Is Kanon Broussard enrolled in Medicare?

Yes. Kanon 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.

What insurance does Kanon Broussard accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Kanon Broussard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kanon Broussard was last updated on July 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.