The Fascia Institute and Treatment Center, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

THE FASCIA INSTITUTE AND TREATMENT CENTER, LLC

Practice address

2520 Harvard Ave # 2B
Metairie, LA 70001-1172

Phone

(504) 704-1254

Fax

(866) 572-0930

NPI assigned

Apr 19, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jacques Courseault, MDNPI 1205152162

Title

Physician

Phone

(504) 704-1254

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacques L Courseault, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Metairie, LA
  • NPI 1205152162
  NPD Authorized official

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1013762335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 HARVARD AVE # 2B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011172",
            "telephone_number": "504-704-1254",
            "fax_number": "866-572-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 HARVARD AVE # 2B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011172",
            "telephone_number": "504-704-1254",
            "fax_number": "866-572-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FASCIA INSTITUTE AND TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "COURSEAULT",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "504-704-1254",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Metairie, LA
• Medical Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.