Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154892982 Individual Practitioner Female Practitioner

Mary Ballard Broussard , OTR

Occupational Therapist • Conroe, TX

Professional Overview & Biography Verified Profile Summary

Mary Broussard, OTR is a registered healthcare professional specializing in Occupational Therapist in Conroe, TX. Practice services are available at 704 LONGMIRE RD STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

704 Longmire Rd Ste 101

Conroe, TX 773041850

Telephone 9853738018
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist in Conroe, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
37 Specialists

Practicing in Conroe, TX (7791 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

State License TX 119236

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Occupational Therapist

NUCC Taxonomy Code: 225X00000X

State License LA OTT.200764

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Emily Nicholls , MS, CCC-SLP

Speech-Language Pathologist

NPI 1013638402

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Luke Johnson

Speech-Language Pathologist

NPI 1124645098
Jennifer Vidana

Speech-Language Pathologist

NPI 1164723342
Virginia Alexander , TXSLPLICENSE #

Speech-Language Pathologist

NPI 1174871651

TXSLPLICENSE#

Ashley Millar , OTR

Occupational Therapist

NPI 1174925614

Occupational Therapist Registered

Suzanne Stiles

Speech-Language Pathologist

NPI 1194372375

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 05, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location December 05, 2018

Registered at 704 LONGMIRE RD STE 101, CONROE, TX 773041850 (Tel: 9853738018)

📍
Updated Business Mailing Address December 05, 2018

Registered at 805 YELLOW BIRCH LN, CONROE, TX 773041993 (Tel: 9853738018)

👤
Provider Name / Credentials Updated December 05, 2018

Recorded as MARY BROUSSARD, OTR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2018

Occupational Therapist (License #OTT.200764 in LA)

🟢
Initial NPI Registration & Enumeration December 05, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1154892982
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2018
Last Update: December 05, 2018
Sole Proprietor: No

Mailing Address

805 Yellow Birch Ln

Conroe, TX 773041993

Phone: 9853738018

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.