Active NPI
Max McLeod, P.T.
- Physical Therapist
- Breaux Bridge, LA
National Provider Identifier
1033178074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0170
- Practice address
- 1220 Berard St
Suite B
Breaux Bridge, LA 70517-4865 - Phone
- (337) 332-6120
- NPI assigned
- Mar 20, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0170 | LA | Primary |
Addresses
Primary practice location
1220 Berard St
Suite B
Breaux Bridge, LA 70517-4865
Mailing address
PO Box 875
Breaux Bridge, LA 70517-0875
Phone (337) 332-6120
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70517 A002 | Other | LA | CHAMPUS |
| 11836051 | Other | LA | CIGNA |
| B4436 | Other | LA | BLUE CROS/BLUE SHIELD OF |
| 6500128565 E0303 | Other | LA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0170 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MTS-LGH Therapy Services LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Lafayette, LA
- NPI 1972024081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1033178074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 875",
"city": "BREAUX BRIDGE",
"state": "LA",
"postal_code": "705170875",
"telephone_number": "337-332-6120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 BERARD ST",
"address_2": "SUITE B",
"city": "BREAUX BRIDGE",
"state": "LA",
"postal_code": "705174865",
"telephone_number": "337-332-6120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEOD",
"first_name": "MAX",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "0170",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "70517 A002",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "11836051",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROS/BLUE SHIELD OF",
"identifier": "B4436",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "6500128565 E0303",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Breaux Bridge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.