Mary Ballard Broussard, OTR
NPI 1154892982ActiveIndividual· Occupational Therapist· Conroe, TX
Occupational Therapist (OTR) in Conroe, Texas, licensed in TX and LA, with an NPI issued in December 2018.
Overview
| NPI | 1154892982 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR |
| Sole proprietor | No |
| NPI issued | Dec 5, 2018 |
| Last updated in NPPES | Dec 5, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 119236 | TX |
| Occupational Therapist | 225X00000X | OTT.200764 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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