Individual provider Active NPI

Jean Philippe Soileau, P.T.

  • Physical Therapist
  • Breaux Bridge, LA
National Provider Identifier
1033187406
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
06798 Issued in LA
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

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20050823000097 LA Practitioner - Physical Therapist in Private Practice 6800827684 Reassigns benefits to 1 organization

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
Evolve Physical Therapy and SportsGroup PAC ID 8729326624, 3 clinicians

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

LicenseStateTypeSpecialty
06798LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Physical Therapy and Sports Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
MTS-LGH Therapy Services LLC Physical Therapist PastSince Aug 8, 2022 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.

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.

Verify at the official NPI Registry.