Mark T Cheralla, MPT, LOTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTTZ12348 Issued in LA

Practice address

7936 Office Park Blvd
Suite B
Baton Rouge, LA 70809

Phone

(225) 201-0002

Fax

(225) 201-0040

NPI assigned

Jul 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renew Physical Therapy, LLCGroup PAC ID 9234227919, 5 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 and National Provider Directory roles.

• Renew Physical Therapy, LLC

  • Physical Therapist
  • Covington, LA
  • NPI 1699967992
  Medicare reassignment Care Compare group NPD
• Peak Performance Physical Therapy Limited Partnership

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1770166886
  Medicare reassignment NPD
• Peak Performance Physical Therapy Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Baton Rouge, LA
  • NPI 1376117069
  NPD
• Beltway PT Clinic, LLC

  • Physical Therapist
  • Pearland, TX
  • NPI 1780838128
  NPD (past)
• Katy PT Clinic, L.L.C.

  • Physical Therapist
  • Houston, TX
  • NPI 1881832384
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1083647127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7936 OFFICE PARK BLVD",
            "address_2": "SUITE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70809",
            "telephone_number": "225-201-0002",
            "fax_number": "225-201-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7936 OFFICE PARK BLVD",
            "address_2": "SUITE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70809",
            "telephone_number": "225-201-0002",
            "fax_number": "225-201-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERALLA",
        "first_name": "MARK",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "MPT, LOTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "06302",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTTZ12348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guihong Chen, MD
• Ivy Isabella Chen
• Erin M Cheneval, APRN
• Laylah Chenier
• Carmen Louise Cheralla, PT
• Tarina Michael Cheramie, M.A. CCC-SLP
• Theresa Jackson Cherbonnier, RN
• Cheri Leblanc, MD, LLC
• Edith Cheri
• Susan Michelle Chesney, M.S., CCC-SLP

• Occupational Therapist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.