Osteopractic Physical Therapy of Southwest Louisiana LLC
Organization Active NPI Physical Therapist · Vinton, LA
NPI 1003551565 · NPPES record last updated Sep 1, 2026
Key facts
- NPI
- 1003551565
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- OSTEOPRACTIC PHYSICAL THERAPY OF SOUTHWEST LOUISIANA LLC
- Practice address
- 1329 Horridge St
Vinton, LA 70668-4531 - Phone
- (337) 735-3930
- Fax
- (337) 391-2839
- NPI assigned
- Apr 29, 2022
- Organization subpart
- No
Authorized official
- Name
- Russell Warren Hearne, PT, DPT
- Title
- Co-Owner/Physical Therapist
- Phone
- (337) 735-3930
Practitioners 1
-
Russell Warren Hearne, PT,DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221122000137 | LA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 2466820576 |
Receives reassigned benefits from 1 practitioner Practice locations: Kinder, LA; Vinton, LA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
1329 Horridge St
Vinton, LA 70668-4531
Mailing address
1329 Horridge St
Vinton, LA 70668-4531
Phone (337) 735-3930
Other providers in Vinton, LA
- Lanes Pharmacy Inc
- Madison Theriot Lestage
- Louisiana Diagnostic and Imaging
- Stephanie Lynn Marceaux
- Milton Outreach Ministries
- Physical Therapy Clinic of Vinton LLC
- Quebedeaux Chiropractic Center
- Wendell Keith Quebedeaux
- St. Angela Merici Foundation
- St. Angela Merici Foundation
All providers in Vinton, LA · Physical Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.