Individual provider Active NPI

Julie Elizabeth Pitre, LMT, NCTMB

  • Massage Therapist
  • Houma, LA
National Provider Identifier
1083949556
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2980 Issued in LA
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, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
2980LAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.