Active NPI
Mentel Wellness, LLC
- Physical Therapist
- Scott, LA
National Provider Identifier
1124448840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 06425
- Legal business name
- MENTEL WELLNESS, LLC
- Practice address
- 101 Park West Dr
Suite B
Scott, LA 70583-8902 - Phone
- (337) 769-1556
- Fax
- (337) 769-1557
- NPI assigned
- Apr 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey M. Mentel, MPT
- Title
- Owner
- Phone
- (337) 769-1556
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 06425 | LA | Primary |
Addresses
Primary practice location
101 Park West Dr
Suite B
Scott, LA 70583-8902
Mailing address
PO Box 61651
Lafayette, LA 70596-1651
Phone (337) 769-1556
Other names 1
- Scott Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141006000711 | LA | Part B Supplier - Clinic/Group Practice | 5991925497 |
Receives reassigned benefits from 7 practitioners Practice locations: Scott, LA |
National Provider Directory
National Provider DirectoryLocations
113 Lions Club Rd
Scott, LA 70583
Phone (337) 769-1556
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412640000000",
"number": "1124448840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 61651",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705961651",
"telephone_number": "337-769-1556",
"fax_number": "337-769-1557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PARK WEST DR",
"address_2": "SUITE B",
"city": "SCOTT",
"state": "LA",
"postal_code": "705838902",
"telephone_number": "337-769-1556",
"fax_number": "337-769-1557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTEL WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-21",
"last_updated": "2014-10-07",
"status": "A",
"authorized_official_last_name": "MENTEL",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "337-769-1556",
"authorized_official_credential": "MPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "LA",
"license": "06425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Scott Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Scott, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.