Active NPI
Andrew Stout, PT, DPT
- Neurology Physical Therapist
- Lake Charles, LA
National Provider Identifier
1083034177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- 09335R
- Practice address
- 706 Sundale Dr
Lake Charles, LA 70607-7032 - Phone
- (337) 405-8823
- NPI assigned
- Apr 16, 2014
- 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 |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | 09335R | LA | Primary |
Addresses
Primary practice location
706 Sundale Dr
Lake Charles, LA 70607-7032
Mailing address
3564 Avalon Park E Blvd Ste 1
Unit # A889
Orlando, FL 32828
Phone (318) 542-7154
Other practice location 1
9421A Solana Vista Loop
Austin, TX 78750-8536
Phone (337) 304-3306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09335R | LA | MD | Neurology Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1083034177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3564 AVALON PARK E BLVD STE 1",
"address_2": "UNIT # A889",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32828",
"telephone_number": "318-542-7154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 SUNDALE DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706077032",
"telephone_number": "337-405-8823"
}
],
"practiceLocations": [
{
"address_1": "9421A Solana Vista Loop",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787508536",
"country_code": "US",
"telephone_number": "337-304-3306",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOUT",
"first_name": "ANDREW",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-16",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "LA",
"license": "09335R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
- Sydna Stone Oakley, BCBA
- Stonebridge Behavioral Health, LLC
- Stonebridge Health Systems, LLC (Stonebridge Behavioral Hospital)
- Stonebridge Health Systems, LLC
- George Zachary Storer, BCBA
- Hobin Roy Stout, CRNA
- Melanie Stracener, PHARM.D.
- Melinda Koonce Strickland, APRN
- Joseph Paul Stringfellow, DO
- Kyle Steven Stroda, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.