Individual provider Active NPI

Jacob P Hebert, DPT

  • Physical Therapist
  • Lake Charles, LA
National Provider Identifier
1134058654
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12283 Issued in LA
Practice address
208 W McNeese St
Lake Charles, LA 70605-5638
Phone
(337) 824-5488
NPI assigned
May 19, 2026
Last updated
May 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12283 LA Primary

Addresses

Primary practice location

208 W McNeese St
Lake Charles, LA 70605-5638

Mailing address

4601 Orleans St
Lake Charles, LA 70607-5825
Phone (337) 475-1053

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260528001686 LA Practitioner - Physical Therapist in Private Practice 9739659053 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Baylor College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Louisiana Sports and Rehabilitation Center, LLCGroup PAC ID 5890854434, 11 clinicians

Practice addresses (Care Compare)

208 W McNeese St
Lake Charles, LA 70605-5638
Phone (337) 475-1053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12283LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Therapy Group LLC Physical Therapist CurrentSince May 26, 2026 Accepting new patients
Iowa Therapy Group LLC Single Specialty CurrentSince May 26, 2026 Accepting new patients
Southwest Louisiana Sports and Rehabilitation Center, LLC Single Specialty CurrentSince May 26, 2026 Accepting new patients
Kinder Therapy Group, LLC Physical Therapist CurrentSince May 26, 2026 Accepting new patients

Locations

605 N Thomson Ave
Iowa, LA 70647
Phone (337) 582-4242

1322 Elton Rd
Ste I
Jennings, LA 70546
Phone (337) 616-8099

715 1st Ave
Ste A
Kinder, LA 70648
Phone (337) 738-9491

208 W McNeese St
Lake Charles, LA 70605
Phone (337) 475-1053

486 N Highway 171
Moss Bluff, LA 70611
Phone (337) 217-0997

900 Cypress St
Sulphur, LA 70663
Phone (337) 528-2828

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1134058654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 ORLEANS ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706075825",
            "telephone_number": "337-475-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055638",
            "telephone_number": "337-824-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "JACOB",
        "middle_name": "P",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "12283",
            "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 May 19, 2026; 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.