| Lauren Broussard, | |
|
38 Sheridan Park Cir Ste E, Bluffton, SC 29910-7023 | |
| (843) 757-5566 | |
| Not Available |
| Full Name | Lauren Broussard |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 1 Years |
| Location | 38 Sheridan Park Cir Ste E, Bluffton, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619793338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | CPO37146T (South Carolina) | Secondary |
| 225100000X | Physical Therapist | PTH12105 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kitsap Physical Therapy And Sports Clinic Ps Inc | 6507762333 | 102 |
| Provider Name | Kitsap Physical Therapy And Sports Clinic Ps Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912902347 PECOS PAC ID: 6507762333 Enrollment ID: O20031211000242 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Broussard, 1297 Indiana Ave, Thorsby, AL 35171 Ph: (205) 217-9091 | Lauren Broussard, 38 Sheridan Park Cir Ste E, Bluffton, SC 29910-7023 Ph: (843) 757-5566 |
Mr. Wayne Douglas Smith, PT ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 Sheridan Circle, Suite A, Bluffton, SC 29910 Phone: 843-815-4080 Fax: 843-815-4084 | |
Christopher James Ivanic, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 64 Bluffton Rd, Bluffton, SC 29910 Phone: 843-681-2376 | |
Meaghan Marcella Hames, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 38 Sheridan Park Cir Ste C, Bluffton, SC 29910 Phone: 843-815-5628 Fax: 843-815-5637 | |
Mica Sanon, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25 Cassidy Dr, Bluffton, SC 29910 Phone: 843-396-1065 | |
Rosemary L Morgan-lee Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4 Callisto Rd, Bluffton, SC 29909 Phone: 843-624-1020 Fax: 843-429-6747 | |
Dr. Jonathan H Garrison, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 435 Gardners Cir, Bluffton, SC 29910 Phone: 845-559-8330 | |
Terrika Plasha Kelly, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 38 Sheridan Park Cir Ste C, Bluffton, SC 29910 Phone: 843-815-5628 Fax: 843-815-5637 |