CLEON SHERRILL BROUSSARD P.T.
NPI 1013992577
Physical Therapist, Sports in Tecumseh,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 7, 2005

Contact Information

9224 Bramble Rd
Tecumseh,
Post Code: 49286
Phone: (517) 438-2169
Fax: -

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Cleon Sherrill Broussard P.t. in Tecumseh - Physical Therapist, Sports

Cleon Sherrill Broussard P.t. is a Physical Therapist, Sports in Tecumseh, . Cleon Sherrill Broussard P.t. practices all healthcare services and medical treatments related to Physical Therapist, Sports. The NPI Number for Cleon Sherrill Broussard P.t. is 1013992577. The last update date is 2021-11-02.

Cleon Sherrill Broussard P.t.'s current location address is 9224 Bramble Rd, Tecumseh, . You can contact this provider via phone number (517) 438-2169 and fax number -. The mailing address for Cleon Sherrill Broussard P.t. is 9224 Bramble Rd, Tecumseh, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1013992577
Provider Name
CLEON SHERRILL BROUSSARD P.T.
Gender
Female
Entity Type
Individual
Location Address
9224 Bramble Rd, Tecumseh,
Location Phone
(517) 438-2169
Location Fax
-
Mailing Address
9224 Bramble Rd, Tecumseh, Michigan(MI)
Mailing Phone
517-438-2169
Mailing Fax
-
Enumeration Date
2005-12-07
Last Update Date
2021-11-02
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist, Pediatrics

Taxonomy Code
2251P0200X
Type
-
License No.
5501007019
License State
Michigan (MI)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 2251S0007X Sports Physical Therapist

Physical Therapist, Sports

5501007019 (Michigan)
2 2251X0800X Orthopedic Physical Therapist

Physical Therapist, Orthopedic

5501007019 (Michigan)
3 225100000X Physical Therapist

Physical Therapist

5501007019 (Michigan)
4 2251G0304X Geriatric Physical Therapist

Physical Therapist, Geriatrics

5501007019 (Michigan)
5 2251N0400X Neurology Physical Therapist

Physical Therapist, Neurology

5501007019 (Michigan)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013992577
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20231894514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20231894514
2 + 0 + 2 + 3 + 1 + 8 + 9 + 4 + 5 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7 7

The NPI number 1013992577 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013992536 ROBERTO AMPONIN VIGUILLA
Individual
Family Medicine 135 LAKE ST
ROSCOMMON, Michigan (MI)
989-275-8931
1013992247 THOMAS K MOORE
Individual
Ophthalmology 2001 COOLIDGE RD
EAST LANSING, Michigan (MI)
517-337-1668
1013992155 JULIE SLOUGH RUNSTROM
Individual
Optometrist 3200 S AIRPORT RD W
TRAVERSE CITY, Michigan (MI)
231-941-7788
1013991934 WILLIAM A. GISCHIA
Individual
Chiropractor 2230 E HIGHLAND RD STE A
HIGHLAND, Michigan (MI)
248-887-8400
1013991561 HEIDI LYNN DIEZ
Individual
Pharmacist 5629 VERSAILLES AVE
ANN ARBOR, Michigan (MI)
734-929-4156