Active NPI
Jason Pitre, DPT, ATC
- Physical Therapist
- Denham Springs, LA
National Provider Identifier
1043248073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 06900
- Practice address
- 145 Aspen Square
Suite a
Denham Springs, LA 70726 - Phone
- (225) 667-8989
- Fax
- (225) 667-9554
- NPI assigned
- Jun 29, 2006
- Last updated
- Jul 8, 2007
- 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 | 06900 | LA | Primary |
Addresses
Primary practice location
145 Aspen Square
Suite a
Denham Springs, LA 70726
Mailing address
11320 Industriplex Boulevard
Baton Rouge, LA 70809
Phone (225) 295-8183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060926000431 | LA | Practitioner - Physical Therapist in Private Practice | 5294730206 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14210 Airline Hwy
Suite E
Gonzales, LA 70737-6640
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06900 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Parish Physical Therapy and Wellness LLC | Physical Therapist | Current | Accepting new patients |
Locations
14210 Airline Hwy
Ste E
Gonzales, LA 70737
Phone (225) 445-5785
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
- Gonzales, LA
- NPI 1225402738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043248073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11320 INDUSTRIPLEX BOULEVARD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70809",
"telephone_number": "225-295-8183",
"fax_number": "225-752-2937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 ASPEN SQUARE",
"address_2": "SUITE A",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "70726",
"telephone_number": "225-667-8989",
"fax_number": "225-667-9554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITRE",
"first_name": "JASON",
"credential": "DPT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "06900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denham Springs, LA
- Hannah Elysse Pichon, PT, DPT
- Mankisha Pike
- James Pirie
- Patrick Scott Pitarro, MPT
- Allyson Fox Pitre, LPC
- Julie Pitre, PLPC
- Christopher Pitts
- Pivot & Thrive Therapy, LLC
- Plantation Management Company, LLC (Golden Age Healthcare and Rehabilitation)
- Plantation Management Company, LLC (Plantation Management Company)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.