Individual provider Active NPI

Christian L Coulon, P.T.

  • Physical Therapist
  • Gonzales, LA
National Provider Identifier
1164657037
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
07262 Issued in LA
Practice address
39092 S Angelle CT
Gonzales, LA 70737-6194
Phone
(337) 303-8150
NPI assigned
May 21, 2009
Last updated
May 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2009

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 07262 LA Primary

Addresses

Primary practice location

39092 S Angelle CT
Gonzales, LA 70737-6194

Mailing address

39092 S Angelle CT
Gonzales, LA 70737-6194
Phone (337) 303-8150

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120514000383 LA Practitioner - Physical Therapist in Private Practice 9830352707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8080 Bluebonnet Blvd
Suite 1000
Baton Rouge, LA 70810-7827
Phone (225) 924-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge Orthopaedic Clinic CurrentSince Oct 29, 2019 Accepting new patients
Baton Rouge Orthopaedic Clinic, LLC Physical Therapist CurrentSince Oct 29, 2019 Accepting new patients
Peak Performance Physical Therapy and Fitness, LLC Physical Therapist PastSince Aug 27, 1999 Accepting new patients

Locations

8080 Bluebonnet Blvd
Ste 1000
Baton Rouge, LA 70810
Phone (225) 408-6633

5000 Odonavan Blvd
Ste 514
Walker, LA 70785
Phone (225) 380-1312

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, 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": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1164657037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39092 S ANGELLE CT",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376194",
            "telephone_number": "337-303-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39092 S ANGELLE CT",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376194",
            "telephone_number": "337-303-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULON",
        "first_name": "CHRISTIAN",
        "middle_name": "L",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.