Active NPI
Stephan C Leblanc, PT, DPT
- Physical Therapist
- Alexandria, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 08590
- Practice address
- 4501 Jackson St Ext Ste B
Alexandria, LA 71303-2555 - Phone
- (318) 240-7680
- NPI assigned
- Oct 9, 2017
- Sex
- Male
- 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 | 08590 | LA | Primary |
Addresses
Primary practice location
4501 Jackson St Ext Ste B
Alexandria, LA 71303-2555
Mailing address
2002 Johnson St Ste 100
Jennings, LA 70546-3640
Phone (337) 824-4547
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
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4501 Jackson St
Suite D
Alexandria, LA 71303-2555
Phone (318) 704-0710
7406 Hwy 1
Suite 102
Mansura, LA 71350-4204
Phone (318) 240-7680
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lemoine Therapy Services of Cenla Inc | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Clinic of Carencro LLC | Physical Therapist | Past | Accepting new patients |
| Therapy Center of Jefferson Davis Parish, Inc | Physical Therapist | Past | Accepting new patients |
Locations
4501 Jackson Street Ext
Ste B
Alexandria, LA 71303
Phone (318) 240-7680
4501 Jackson St
Ste D
Alexandria, LA 71303
Phone (318) 704-0710
2002 Johnson St
Ste 100
Jennings, LA 70546
Phone (337) 824-8287
7406 Highway 1
Ste 102
Mansura, LA 71350
Phone (318) 240-7680
Organizations & group practices 3
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 Therapist
- Mansura, LA
- NPI 1336242767
-
- Physical Therapist
- Carencro, LA
- NPI 1669557906
-
- Physical Therapist
- Jennings, LA
- NPI 1508971045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507507200000",
"number": "1154831733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 JOHNSON ST STE 100",
"city": "JENNINGS",
"state": "LA",
"postal_code": "705463640",
"telephone_number": "337-824-4547",
"fax_number": "337-824-4548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 JACKSON ST EXT STE B",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713032555",
"telephone_number": "318-240-7680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBLANC",
"first_name": "STEPHAN",
"middle_name": "C",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-09",
"last_updated": "2017-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "08590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; 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.