Physical Therapy Advantage

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

03789 Issued in LA

Legal business name

PHYSICAL THERAPY ADVANTAGE

Practice address

805 W Congress St
Lafayette, LA 70501-5719

Phone

(337) 262-0600

Fax

(337) 262-0601

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Chantelle Viola Aaron, MSPTNPI 1770797763

Title

Director

Phone

(337) 262-0600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chantelle Viola Aaron, MSPT

  • Physical Therapist
  • Lafayette, LA
  • NPI 1770797763
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124059415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W CONGRESS ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705015719",
            "telephone_number": "337-262-0600",
            "fax_number": "337-262-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W CONGRESS ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705015719",
            "telephone_number": "337-262-0600",
            "fax_number": "337-262-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY ADVANTAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AARON",
        "authorized_official_first_name": "CHANTELLE",
        "authorized_official_middle_name": "VIOLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "337-262-0600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "03789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meggan Phillips, LPC
• Rusty Lane Phillips, LCSW
• Phoebe N Glorias Counseling LLC
• Phoenix Provider Services LLC
• Physical Medicine Center
• Physical Therapy Clinic of Lafayette, Inc.
• Physical Therapy Clinic of Lafayette, LLC
• Physical Therapy South, Inc
• Physical Therapy Works, Inc.
• Physician Management Services of Louisiana II, LLC

• Physical Therapy Clinic/Center in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Physical Therapy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.