Organization Active NPI

Physical Therapy Associates of Louisiana, Inc.

  • Physical Therapist
  • Lake Charles, LA
National Provider Identifier
1154471498
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY ASSOCIATES OF LOUISIANA, INC.
Practice address
611 W College St
Lake Charles, LA 70605-1521
Phone
(337) 477-8823
Fax
(337) 477-0143
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David Regan, P.T.
Title
President
Phone
(337) 477-8823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

611 W College St
Lake Charles, LA 70605-1521

Mailing address

611 W College St
Lake Charles, LA 70605-1521
Phone (337) 477-8823

National Provider Directory

National Provider Directory

Locations

611 W College St
Lake Charles, LA 70605
Phone (337) 477-8823

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154471498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W COLLEGE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706051521",
            "telephone_number": "337-477-8823",
            "fax_number": "337-477-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W COLLEGE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706051521",
            "telephone_number": "337-477-8823",
            "fax_number": "337-477-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY ASSOCIATES OF LOUISIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REGAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-477-8823",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; 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.