Kelly M. Broussard, DPT
NPI 1801433958ActiveIndividual· Physical Therapist· Leland, NC
Physical Therapist (DPT) in Leland, North Carolina, trained at Drexel University College of Medicine (class of 2018). Medicare paid $101,152 for services to 250 patients in 2024.
Overview
| NPI | 1801433958 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | Yes |
| NPI issued | Dec 9, 2019 |
| Last updated in NPPES | Sep 3, 2025 |
| Certified by provider | Sep 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | P18088 | NC |
| Physical Therapist | 225100000X | 27089 | MD |
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) | Enrolled Practitioner - Physical Therapist in Private Practice (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 250 |
|---|---|
| Services billed | 5,531 across 11 procedure codes |
| Paid by Medicare | $101,152 |
Education and affiliations
| Medical school | Drexel University College of Medicine |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Emergeortho PALeland, NC · 731 clinicians
Other Physical Therapist providers in Leland
- 1588189112
- 1083010912
- 1407085418
- 1447088612
- 1366118861
- 1306775150
- 1356506133
- 1073058533
- 1184742199
- 1487550174
- 1972013936
- 1609506948