Wendy Moreau Ovella

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

06636 Issued in LA

Practice address

4621 W Napoleon Ave
Ste. 101
Metairie, LA 70001-2487

Phone

(504) 889-1193

Fax

(504) 889-1194

NPI assigned

Apr 25, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1053586503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 W NAPOLEON AVE",
            "address_2": "STE. 101",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012487",
            "telephone_number": "504-889-1193",
            "fax_number": "504-889-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 W NAPOLEON AVE",
            "address_2": "STE. 101",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012487",
            "telephone_number": "504-889-1193",
            "fax_number": "504-889-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVELLA",
        "first_name": "WENDY",
        "middle_name": "MOREAU",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "06636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Physical Therapist in Metairie, LA
• Providers in Metairie, LA by specialty
• Orthopedic Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.