Dr. Kelly M Broussard, DPT
Physical Therapist in Leland, North Carolina
1801433958- Practice location
- 1168 E Cutlar Xing, Leland, NC 28451-6484
- Phone
- 919-332-3800
- Fax
- 919-251-0421
- Last updated
- September 3, 2025
Kelly M Broussard is a Physical Therapist based in Leland, NC. Kelly M Broussard practices in Leland, NC and has the professional credentials of DPT. The NPI Number for Kelly M Broussard is 1801433958 and holds a License No. 27089 (MD). The current practice location address for Kelly M Broussard is 1168 E Cutlar Xing, Leland, NC 28451-6484 and can be reached out via phone at 919-332-3800 and via fax at 919-251-0421.
Provider Profile Details
- NPI Number
- 1801433958
- Provider Name
- Kelly M Broussard
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1168 E Cutlar Xing, Leland, NC 28451-6484
- Phone Number
- 919-332-3800
- Fax Number
- 919-251-0421
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 9, 2019
- Last Update Date
- September 3, 2025
- Certification Date
- September 3, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1168 E Cutlar Xing
Leland, NC 28451-6484 - City
- Leland
- State
- North Carolina
- Zip
- 28451-6484
- Phone Number
- 919-332-3800
- Fax Number
- 919-251-0421
Provider Business Mailing Address Details
- Address
- Po Box 5105
Belfast, ME 04915-5100 - City
- Belfast
- State
- ME
- Zip
- 04915-5100
- Phone Number
- 919-220-5255
- Fax Number
- 919-220-6971
License Information
- License Number (1)
- 27089
- License State (1)
- MD
- Taxonomy (1)
- Physical Therapist · 225100000X
- License Number (2)
- P18088
- License State (2)
- NC
- Taxonomy (2)
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapists near Leland, NC
View all Physical Therapists in Leland →Frequently Asked Questions
What is the NPI number of Dr. Kelly M Broussard, DPT?
The NPI number of Dr. Kelly M Broussard, DPT is 1801433958. It was assigned on December 9, 2019 and is currently active in the NPPES registry.
What is the specialty of Dr. Kelly M Broussard, DPT?
Dr. Kelly M Broussard, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MD under license number 27089.
Where does Dr. Kelly M Broussard, DPT practice?
The practice location is 1168 E Cutlar Xing, Leland, NC 28451-6484. The office can be reached at 919-332-3800 (phone) or 919-251-0421 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801433958 directly on the NPPES registry website.