Acadian Physical Therapy Services, LLC

Organization Active NPI Physical Therapist · Lafayette, LA

NPI 1043676554 · NPPES record last updated Jun 24, 2024

Key facts

NPI
1043676554
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
ACADIAN PHYSICAL THERAPY SERVICES, LLC
Practice address
400 Polly LN
Suite 160
Lafayette, LA 70508-4965
Phone
(337) 500-1300
Fax
(337) 406-8042
NPI assigned
Jan 13, 2016
Organization subpart
No

Authorized official

Name
Joshua L. Proffitt
Title
President
Phone
(337) 233-1307

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20160719000645 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8123311875 Receives reassigned benefits from 4 practitioners
Practice locations: Lafayette, LA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X Yes
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP
235Z00000X

Addresses

Primary practice location

400 Polly LN
Suite 160
Lafayette, LA 70508-4965

Mailing address

PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307

Other providers in Lafayette, LA

All providers in Lafayette, LA · Physical Therapist in Louisiana

Sources for this page

Verify at the official NPI Registry.