Individual provider Active NPI

Kacie Pertuit, PT, DPT

  • Physical Therapist
  • Abbeville, LA
National Provider Identifier
1083465975
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11507 Issued in LA
Practice address
3013 Veterans Memorial Dr Ste 104
Abbeville, LA 70510-4152
Phone
(337) 993-2766
NPI assigned
Mar 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11507 LA Primary

Addresses

Primary practice location

3013 Veterans Memorial Dr Ste 104
Abbeville, LA 70510-4152

Mailing address

983A E Lancaster Ave
Downingtown, PA 19335-3184
Phone (337) 993-2766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240411002094 LA Practitioner - Physical Therapist in Private Practice 8426497330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Therapy Solutions, LLCGroup PAC ID 8921383688, 37 clinicians

Practice addresses (Care Compare)

3013 Veterans Memorial Dr
Suite 104
Abbeville, LA 70510-4152
Phone (337) 993-2766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11507LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Therapy Solutions, LLC Physical Therapist CurrentSince Mar 28, 2024 Accepting new patients
Elite Therapy Solutions, LLC Physical Therapist CurrentSince Mar 28, 2024 Accepting new patients

Locations

3013 Veterans Memorial Dr
Ste 104
Abbeville, LA 70510
Phone (337) 385-5482

401 N College Rd
Ste 1B
Lafayette, LA 70506
Phone (337) 993-2766

3524 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (337) 993-2766

3524 Kaliste Saloom Rd
Ste 205
Lafayette, LA 70508
Phone (337) 993-2766

983A E Lancaster Ave
Downingtown, PA 19335
Phone (610) 594-2060

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1083465975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983A E LANCASTER AVE",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193353184",
            "telephone_number": "337-993-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 VETERANS MEMORIAL DR STE 104",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705104152",
            "telephone_number": "337-993-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERTUIT",
        "first_name": "KACIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.