Anders Elle Broussard, DPT | |
386 W Broadway, South Boston, MA 02127-2215 | |
(617) 752-4672 | |
Not Available |
Full Name | Anders Elle Broussard |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 386 W Broadway, South Boston, Massachusetts |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750057360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 25697 (Massachusetts) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Outback Physical Therapy Inc | 4688821101 | 6 |
Provider Name | Outback Physical Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114272515 PECOS PAC ID: 4688821101 Enrollment ID: O20120905000601 |
Provider Name | Bay State Physical Therapy Of Randolph Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164474334 PECOS PAC ID: 6305744251 Enrollment ID: O20191112001187 |
Mailing Address | Practice Location Address |
---|---|
Anders Elle Broussard, DPT 703 Granite St Ste 3, Braintree, MA 02184-5350 Ph: (781) 807-6138 | Anders Elle Broussard, DPT 386 W Broadway, South Boston, MA 02127-2215 Ph: (617) 752-4672 |
Sarah Lewis, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 386 W Broadway Fl 1, South Boston, MA 02127 Phone: 617-752-4672 | |
Mr. Timothy Campbell Kiley, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 377 W Broadway, South Boston, MA 02127 Phone: 617-752-4672 Fax: 617-752-4643 | |
Ryan Edmund Bogrette, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 379 W Broadway, South Boston, MA 02127 Phone: 617-968-3999 Fax: 617-752-4127 | |
Jillian O'connell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 386 W Broadway Fl 1, South Boston, MA 02127 Phone: 617-752-4672 | |
Virginia Stalnaker, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 470 W Broadway Ste 2, South Boston, MA 02127 Phone: 617-752-4643 | |
Ms. Justine Beauchamp Henderson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 377 W Broadway, South Boston, MA 02127 Phone: 617-752-4643 | |
Kelsey Hanahan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 386 W Broadway Fl 1, South Boston, MA 02127 Phone: 617-752-4672 Fax: 617-752-4643 |