Chase Michael Cheramie, PT, DPT
Individual provider Active NPI Physical Therapist · Galliano, LA
NPI 1174158398 · NPPES record last updated Aug 27, 2020
Key facts
- NPI
- 1174158398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 10627 (LA)
- Practice address
- 18641 Highway 3235
Galliano, LA 70354-3936 - Phone
- (985) 475-4555
- Fax
- (985) 475-4557
- NPI assigned
- Mar 9, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200916000087 | LA | Practitioner - Physical Therapist in Private Practice | 7911325428 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiofit Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Physiofit Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
18641 Highway 3235
Galliano, LA 70354
Phone (985) 475-4555
120 White Rose Dr
Raceland, LA 70394
Phone (985) 532-9662
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10627 | LA | Yes |
Addresses
Primary practice location
18641 Highway 3235
Galliano, LA 70354-3936
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other providers in Galliano, LA
- Diane Marie Badeaux
- John Ray Bilello
- Simone Bishop
- Roger James Blanchard Jr.
- Mitzi R. Brunet
- Kaylee Michelle Cole
- Ron Dantin
- Department of Health and Hospitals
- Dr Elliott Apcc
- Richard W Elliott
All providers in Galliano, LA · Physical Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.