Rachel Bergeron Fanguy, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11535 Issued in LA

Practice address

2620 Metairie Lawn Dr
Metairie, LA 70002-6107

Phone

(504) 841-0150

Fax

(504) 841-0180

NPI assigned

Jul 27, 2023

Last updated

Jul 27, 2023By the provider in NPPES

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

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baudry Therapy CenterGroup PAC ID 8729158365, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Baudry Therapy Center

  • Orthopedic Physical Therapist
  • Metairie, LA
  • NPI 1922273812
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1063193647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 METAIRIE LAWN DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026107",
            "telephone_number": "504-841-0150",
            "fax_number": "504-841-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 METAIRIE LAWN DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026107",
            "telephone_number": "504-841-0150",
            "fax_number": "504-841-0180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "822 Perdido St Unit G",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701121026",
            "country_code": "US",
            "telephone_number": "504-841-0150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7335 Jefferson Hwy # 400A",
            "address_purpose": "LOCATION",
            "city": "Harahan",
            "state": "LA",
            "postal_code": "701234515",
            "country_code": "US",
            "telephone_number": "150-484-1015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANGUY",
        "first_name": "RACHEL",
        "middle_name": "BERGERON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.