Kaleb Thompson, DPT
Individual provider Active NPI Physical Therapist · Prairieville, LA
NPI 1013848167 · NPPES record last updated May 27, 2026
Key facts
- NPI
- 1013848167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT12374 (LA)
- Practice address
- 17094 Airline Hwy
Prairieville, LA 70769-3400 - Phone
- (225) 677-8400
- Fax
- (225) 677-8484
- NPI assigned
- May 27, 2026
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT12374 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Therapy Services, L.L.C. | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT12374 | LA | Yes |
Addresses
Primary practice location
17094 Airline Hwy
Prairieville, LA 70769-3400
Mailing address
44336 Erwin Villar Rd
Prairieville, LA 70769-6402
Phone (225) 677-8400
Other providers in Prairieville, LA
- The Wellness Corner, LLC
- Tiffany Lynn Thibodeaux
- Thive Counseling and Consulting, LLC
- Caitlyn Thomas
- Wanda F Thomas
- Niani Thornton
- Thrive Therapies
- Tiffany Thibodeaux LLC
- To Advance Languge for Kids
- Tony T. Luu OD
All providers in Prairieville, 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 May 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.