Active NPI
Jean Philippe Soileau, P.T.
- Physical Therapist
- Breaux Bridge, LA
National Provider Identifier
1033187406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 06798
- Practice address
- 1400 Rees St
Suite D
Breaux Bridge, LA 70517-4308 - Phone
- (337) 442-6077
- Fax
- (337) 442-1224
- NPI assigned
- Mar 10, 2006
- 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 | 06798 | LA | Primary |
Addresses
Primary practice location
1400 Rees St
Suite D
Breaux Bridge, LA 70517-4308
Mailing address
P.O. Box 52396
Lafayette, LA 70505-2396
Phone (337) 232-3111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
215 Staring LN
Baton Rouge, LA 70810-4064
Phone (225) 444-5764
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06798 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolve Physical Therapy and Sports | Physical Therapist | Current | Accepting new patients |
| MTS-LGH Therapy Services LLC | Physical Therapist | Past | Accepting new patients |
Locations
215 Staring Ln
Baton Rouge, LA 70810
Phone (225) 416-2733
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.
-
- Physical Therapy Clinic/Center
- Baton Rouge, LA
- NPI 1902378987
Physical Therapist
-
- Physical Therapist
- Lafayette, LA
- NPI 1972024081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1033187406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 52396",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705052396",
"telephone_number": "337-232-3111",
"fax_number": "337-232-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 REES ST",
"address_2": "SUITE D",
"city": "BREAUX BRIDGE",
"state": "LA",
"postal_code": "705174308",
"telephone_number": "337-442-6077",
"fax_number": "337-442-1224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOILEAU",
"first_name": "JEAN",
"middle_name": "PHILIPPE",
"name_prefix": "Prof.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "06798",
"primary": true
}
],
"identifiers": [],
"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 Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.