Individual provider Active NPI

Thomas J. Landry, PHYSICAL THERAPIST

  • Physical Therapist
  • New Iberia, LA
National Provider Identifier
1154412286
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00304 Issued in LA
Practice address
510 Jefferson Ter
Ste. B
New Iberia, LA 70560-4981
Phone
(337) 560-9675
Fax
(337) 560-9675
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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 PT00304 LA Primary

Addresses

Primary practice location

510 Jefferson Ter
Ste. B
New Iberia, LA 70560-4981

Mailing address

510 Jefferson Ter
Suite B
New Iberia, LA 70560-4981
Phone (337) 560-9675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00304LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas J. Landry & Associates, Inc Physical Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1154412286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 JEFFERSON TER",
            "address_2": "SUITE B",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604981",
            "telephone_number": "337-560-9675",
            "fax_number": "337-560-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 JEFFERSON TER",
            "address_2": "STE. B",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604981",
            "telephone_number": "337-560-9675",
            "fax_number": "337-560-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "THOMAS",
        "middle_name": "J.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "PT00304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.