Individual provider Active NPI

Sidney C Dartez, PT, DPT

  • Physical Therapist
  • Jennings, LA
National Provider Identifier
1013713692
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP042516T Issued in LA
Practice address
2002 Johnson St Ste 100
Jennings, LA 70546-3640
Phone
(337) 824-4547
NPI assigned
Feb 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1405788 TX
Physical Therapist 225100000X CP042516T LA Primary

Addresses

Primary practice location

2002 Johnson St Ste 100
Jennings, LA 70546-3640

Mailing address

PO Box 849
Jennings, LA 70546-0849
Phone (337) 824-8287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250227003339 LA Practitioner - Physical Therapist in Private Practice 0547780967 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1405788TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lemoine Therapy Services of Cenla Inc Physical Therapist CurrentSince Feb 24, 2025 Accepting new patients
Therapy Center of Jefferson Davis Parish, Inc Physical Therapist CurrentSince Feb 24, 2025 Accepting new patients

Locations

204 E Saint Peter St
Carencro, LA 70520
Phone (337) 896-6685

2002 Johnson St
Ste 100
Jennings, LA 70546
Phone (337) 824-8287

7406 Highway 1
Ste 102
Mansura, LA 71350
Phone (318) 240-7680

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1013713692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705460849",
            "telephone_number": "337-824-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 JOHNSON ST STE 100",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463640",
            "telephone_number": "337-824-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARTEZ",
        "first_name": "SIDNEY",
        "middle_name": "C",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1405788",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "CP042516T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jennings, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.