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Anders Elle Broussard, DPT

NPI 1750057360ActiveIndividual· Physical Therapist· South Boston, MA

Physical Therapist (DPT) in South Boston, Massachusetts, licensed in MA, with an NPI issued in August 2021. Medicare paid $11,615 for services to 13 patients in 2024.

Overview

NPI1750057360
StatusActive
Entity typeIndividual
CredentialDPT
Sole proprietorNo
NPI issuedAug 23, 2021
Last updated in NPPESAug 23, 2021
Certified by providerAug 23, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X25697MA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients13
Services billed558 across 6 procedure codes
Paid by Medicare$11,615

Medicare sources and data years

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