NPIMap

Organization Active NPI

Physical Therapy Clinic of Lafayette, LLC

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1114471612
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00300 Issued in LA
Legal business name
PHYSICAL THERAPY CLINIC OF LAFAYETTE, LLC
Practice address
4809 Ambassador Caffery Pkwy
Lafayette, LA 70508-8800
Phone
(337) 232-7080
Fax
(337) 237-2517
NPI assigned
Aug 12, 2016
Last updated
Aug 31, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
PHYSICAL THERAPY CLINIC OF LAFAYETTE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Mr. Christopher J Barras Sr., PHYSICAL THERAPISTNPI 1134182579
Title
President
Phone
(337) 232-7080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 00151 LA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 00300 LA Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 00056 LA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 00521 LA
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Z11352 LA
Hand Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XH1200X Z11352 LA
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 1176 LA

Addresses

Primary practice location

4809 Ambassador Caffery Pkwy
Lafayette, LA 70508-8800

Mailing address

PO Box 52021
Lafayette, LA 70505-2021
Phone (337) 232-7080

National Provider Directory

National Provider Directory
Part of
PT Clinic of Lafayette Inc

Locations

112 Republic Ave
Lafayette, LA 70508

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1114471612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52021",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705052021",
            "telephone_number": "337-232-7080",
            "fax_number": "337-237-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088800",
            "telephone_number": "337-232-7080",
            "fax_number": "337-237-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CLINIC OF LAFAYETTE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICAL THERAPY CLINIC OF LAFAYETTE, INC",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "BARRAS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-232-7080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "00151",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "00300",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "00056",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "00521",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "Z11352",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "LA",
            "license": "Z11352",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "1176",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.