Active NPI
Julie Elizabeth Pitre, LMT, NCTMB
- Massage Therapist
- Houma, LA
National Provider Identifier
1083949556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2980
- Practice address
- 6860 W Park Ave
Suite a
Houma, LA 70364-2623 - Phone
- (985) 209-9338
- NPI assigned
- Oct 16, 2009
- Last updated
- May 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2980 | LA | Primary |
Addresses
Primary practice location
6860 W Park Ave
Suite a
Houma, LA 70364-2623
Mailing address
207 Estate Dr
Houma, LA 70364-2837
Phone (985) 688-1516
Other names 1
- Julie Pitre Boudreaux
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 |
|---|---|---|---|
| 2980 | LA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael J Boudreaux DDS | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273190400000",
"number": "1083949556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 ESTATE DR",
"city": "HOUMA",
"state": "LA",
"postal_code": "703642837",
"telephone_number": "985-688-1516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6860 W PARK AVE",
"address_2": "SUITE A",
"city": "HOUMA",
"state": "LA",
"postal_code": "703642623",
"telephone_number": "985-209-9338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITRE",
"first_name": "JULIE",
"middle_name": "ELIZABETH",
"credential": "LMT, NCTMB",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-16",
"last_updated": "2010-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "LA",
"license": "2980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "BOUDREAUX",
"middle_name": "PITRE",
"credential": "LMT, NCTMB",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.