IndividualActive
Lenita Broussard, PTA
NPI 1346856564 · Physical Therapy Assistant · Liberty, TX
Provider details
- NPI number
- 1346856564
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 2157497 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1620 Magnolia St
Liberty, TX 77575-3546
Phone: (936) 336-8844
Street-level locationGet directions
Mailing address
2455 Montgomery Rd Apt 14
Huntsville, TX 77340-5903
Additional practice locations (1)
- 2455 Montgomery Rd Apt 14Huntsville, TX 77340-5903Phone: (979) 383-4905
Registry dates
- Enumerated
- 2020-09-22
- Last updated
- 2020-09-22
- Certified
- 2020-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.