NPIMap

Organization Active NPI

Louisiana Physical Therapy, LLC

Doing business as LeBlanc, Chamberlain and Martin Physical Therapy Services

  • Physical Therapy Clinic/Center
  • Opelousas, LA
National Provider Identifier
1073560504
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
N/A Issued in LA
Legal business name
LOUISIANA PHYSICAL THERAPY, LLC
Doing business as
LeBlanc, Chamberlain and Martin Physical Therapy Services
Practice address
4027 I 49 S Service Rd
Opelousas, LA 70570-0757
Phone
(337) 948-4214
Fax
(337) 942-9979
NPI assigned
May 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Keith G. Myers
Title
President / Ceo
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X N/A LA Primary

Addresses

Primary practice location

4027 I 49 S Service Rd
Opelousas, LA 70570-0757

Mailing address

420 W Pinhook Rd
Suite a
Lafayette, LA 70503-2131
Phone (337) 233-1307

Other identifiers 1

IdentifierTypeStateIssuer
1911291MedicaidLA

Other names 1

  • LeBlanc, Chamberlain and Martin Physical Therapy Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073560504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W PINHOOK RD",
            "address_2": "SUITE A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032131",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027 I 49 S SERVICE RD",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705700757",
            "telephone_number": "337-948-4214",
            "fax_number": "337-942-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1911291",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LeBlanc, Chamberlain and Martin Physical Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Opelousas, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.