Active NPI
William Ray Naquin, MBA,PT,OCS
- Physical Therapist
- Thibodaux, LA
National Provider Identifier
1164628947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1011
- Practice address
- 804 Bayou LN
Thibodaux, LA 70301-4906 - Phone
- (985) 447-8442
- NPI assigned
- Jun 27, 2007
- 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 | 1011 | LA | Primary |
Addresses
Primary practice location
804 Bayou LN
Thibodaux, LA 70301-4906
Mailing address
107 New Hope Dr
Thibodaux, LA 70301-8085
Phone (985) 227-9588
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)
- Not enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1011 | LA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crescent City Physical Therapy | 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.
-
- Physical Therapist
- New Orleans, LA
- NPI 1043259005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221523200000",
"number": "1164628947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 NEW HOPE DR",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703018085",
"telephone_number": "985-227-9588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 BAYOU LN",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014906",
"telephone_number": "985-447-8442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAQUIN",
"first_name": "WILLIAM",
"middle_name": "RAY",
"credential": "MBA,PT,OCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-27",
"last_updated": "2008-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "1011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.