Active NPI
Katherine Claire Prevost, DPT
- Physical Therapist
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 07815
- Practice address
- 4141 Common St
Lake Charles, LA 70607-4501 - Phone
- (337) 990-5621
- Fax
- (337) 990-5623
- NPI assigned
- Aug 19, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 07815 | LA | Primary |
Addresses
Primary practice location
4141 Common St
Lake Charles, LA 70607-4501
Mailing address
4150 Nelson Rd
Suite C12
Lake Charles, LA 70605-4148
Phone (337) 990-5621
Other practice location 1
502 N Parkerson Ave
Crowley, LA 70526-4351
Phone (337) 990-5621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Louisiana State University School of Medicine in Shreveport, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 E McNeese St
Suite 104 Thrive Pelvic Floor and Pregnancy C
Lake Charles, LA 70605-5700
Phone (337) 990-5622
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Lemoine Therapy Services of Cenla Inc | Physical Therapist | Past | Accepting new patients |
Locations
502 N Parkerson Ave
Crowley, LA 70526
Phone (337) 990-5621
4150 Nelson Rd
Ste C12
Lake Charles, LA 70605
Phone (337) 990-5621
300 E McNeese St
Ste 104
Lake Charles, LA 70605
Phone (337) 990-5621
4141 Common St
Lake Charles, LA 70607
Phone (337) 990-5621
Interoperability endpoints
- https://api.platform.athenahealth.com/6743/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Lake Charles, LA
- NPI 1497004287
Physical Therapist
-
- Physical Therapist
- Mansura, LA
- NPI 1336242767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1124308234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 NELSON RD",
"address_2": "SUITE C12",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706054148",
"telephone_number": "337-990-5621",
"fax_number": "337-990-5623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 COMMON ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706074501",
"telephone_number": "337-990-5621",
"fax_number": "337-990-5623"
}
],
"practiceLocations": [
{
"address_1": "502 N Parkerson Ave",
"address_purpose": "LOCATION",
"city": "Crowley",
"state": "LA",
"postal_code": "705264351",
"country_code": "US",
"telephone_number": "337-990-5621",
"fax_number": "337-990-5623",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PREVOST",
"first_name": "KATHERINE",
"middle_name": "CLAIRE",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-19",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "07815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.