Individual provider Active NPI

Virginia Lynn Callais, PT

  • Physical Therapist
  • Covington, LA
National Provider Identifier
1093974453
Registry record updated Jun 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10431R Issued in LA
Practice address
1131 S Tyler St
Covington, LA 70433-2327
Phone
(985) 276-4095
Fax
(985) 333-1668
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1181339 TX
Physical Therapist 225100000X 10431R LA Primary

Addresses

Primary practice location

1131 S Tyler St
Covington, LA 70433-2327

Mailing address

1131 S Tyler St
Covington, LA 70433-2327
Phone (985) 276-4095

Other practice location 1

1701 W Ben White Blvd
Suite 100B
Austin, TX 78704-7667
Phone (512) 440-1441

Other practice location 2

2306 Front St Ste 27
Slidell, LA 70458-3664
Phone (985) 661-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200610002872 LA Practitioner - Physical Therapist in Private Practice 8123449576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geaux Fight Rehabilitation Services LLCGroup PAC ID 9830501535, 3 clinicians

Practice addresses (Care Compare)

1131 S Tyler St
Covington, LA 70433-2327
Phone (985) 276-4095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1181339TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Geaux Fight BR Current Accepting new patients
Geaux Fight Rehabilitation Services LLC Physical Therapist CurrentSince Aug 17, 2020 Accepting new patients
Star Physical Therapy Physical Therapist CurrentSince Mar 10, 2020 Accepting new patients

Locations

1131 S Tyler St
Covington, LA 70433
Phone (985) 276-4095

340 Falconer Dr
Covington, LA 70433
Phone (985) 893-2845

2306 Front St
Ste 27
Slidell, LA 70458
Phone (985) 661-1000

Organizations & group practices 3

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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718496000000",
    "number": "1093974453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 S TYLER ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332327",
            "telephone_number": "985-276-4095",
            "fax_number": "985-333-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 S TYLER ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332327",
            "telephone_number": "985-276-4095",
            "fax_number": "985-333-1668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 W Ben White Blvd",
            "address_2": "Suite 100B",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787047667",
            "country_code": "US",
            "telephone_number": "512-440-1441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2306 Front St Ste 27",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704583664",
            "country_code": "US",
            "telephone_number": "985-661-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAIS",
        "first_name": "VIRGINIA",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2024-06-16",
        "certification_date": "2024-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1181339",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10431R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.