Individual provider · Type 1 NPI

Brian Paul Broussard, DPT

Sports Physical Therapist · St. Petersburg, FL

NPI number 1750809448 Active

Practice location

111 2nd Ave NE Ste 1401
St. Petersburg, FL 33701-3480

Other practice locations

  • 2751 Prosperity Ave, Fairfax, VA 22031-4397 · (703) 237-3930
  • 15049 Bruce B Downs Blvd, Tampa, FL 33647-1388 · (813) 563-7668

Specialties and licenses

TaxonomyCodeLicense
Sports Physical Therapist 2251S0007X1679719421 (VA)
Sports Physical Therapist Primary 2251S0007XPT34062 (FL)

Sports Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medica…

5 other providers at this address

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About NPI 1750809448

Brian Paul Broussard, DPT's National Provider Identifier is 1750809448, issued on Sep 2, 2017. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in St. Petersburg, FL. The record was last updated on Jun 9, 2021.