Individual provider Active NPI

Jean-Paul Andre' Perrodin, P.T.

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1194041640
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
04253 Issued in LA
Practice address
701 Robley Dr
Suite 135
Lafayette, LA 70503-5200
Phone
(337) 991-0102
Fax
(337) 991-0032
NPI assigned
Apr 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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 04253 LA Primary

Addresses

Primary practice location

701 Robley Dr
Suite 135
Lafayette, LA 70503-5200

Mailing address

701 Robley Dr
Suite 135
Lafayette, LA 70503-5200
Phone (337) 991-0102

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270684800000",
    "number": "1194041640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ROBLEY DR",
            "address_2": "SUITE 135",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035200",
            "telephone_number": "337-991-0102",
            "fax_number": "337-991-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ROBLEY DR",
            "address_2": "SUITE 135",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035200",
            "telephone_number": "337-991-0102",
            "fax_number": "337-991-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRODIN",
        "first_name": "JEAN-PAUL",
        "middle_name": "ANDRE'",
        "name_prefix": "Prof.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "04253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.