Allen Mire IV
Individual provider Active NPI Physical Therapist · Galliano, LA
NPI 1093673881 · NPPES record last updated Jan 12, 2026
Key facts
- NPI
- 1093673881
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 12248 (LA)
- Practice address
- 18641 Highway 3235
Galliano, LA 70354-3936 - Phone
- (985) 475-4555
- NPI assigned
- Jan 12, 2026
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fox Rehabilitation Services la LLC
Physiofit Physical Therapy, LLC
Practice addresses (Care Compare)
Baton Rouge, LA 70836
Phone (877) 407-3422
18641 Hwy 3235
Galliano, LA 70354-3936
Phone (985) 475-4555
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260120001431 | LA | Practitioner - Physical Therapist in Private Practice | 0547747776 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12248 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services la LLC | Physical Therapist | Current |
Accepting new patients |
| Physiofit Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Physiofit Louisiana LLC | Physical Therapist | Current |
Accepting new patients |
| Physiofit Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
18641 Highway 3235
Galliano, LA 70354
Phone (985) 475-4555
1700 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (337) 210-2090
13554 Highway 3235
Ste B
Larose, LA 70373
Phone (985) 475-4555
120 White Rose Dr
Raceland, LA 70394
Phone (985) 532-9662
200 N Military Rd
Slidell, LA 70461
Phone (985) 590-5029
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12248 | LA | Yes |
Addresses
Primary practice location
18641 Highway 3235
Galliano, LA 70354-3936
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other providers in Galliano, LA
- Christine Ford
- Vernon J Foret
- Rutgerus Franciscus Jongbloets
- Eric James Keplinger
- Luke Lejeune
- Physiofit LLC
- Physiofit Physical Therapy, LLC
- Anna Stuivenberg
- Teche Action Board, Inc.
- Wal-Mart Stores East LP
All providers in Galliano, LA · Physical Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.