Matthew Broussard, PT, DPT
NPI 1114247574ActiveIndividual· Physical Therapist· Spanish Fort, AL
Physical Therapist (PT, DPT) in Spanish Fort, Alabama, licensed in AL and TN, with an NPI issued in June 2010.
Overview
| NPI | 1114247574 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Jun 9, 2010 |
| Last updated in NPPES | Dec 16, 2021 |
| Certified by provider | Dec 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PTH7433 | AL |
| Physical Therapist | 225100000X | 8656 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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