Individual provider Active NPI

Jacques L Courseault, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Metairie, LA
National Provider Identifier
1205152162
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD.205114 Issued in LA
Practice address
2520 Harvard Ave Ste 2B
Metairie, LA 70001-1172
Phone
(504) 704-1254
Fax
(866) 572-0930
NPI assigned
Apr 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD.205114 LA Primary

Addresses

Primary practice location

2520 Harvard Ave Ste 2B
Metairie, LA 70001-1172

Mailing address

2520 Harvard Ave Ste 2B
Metairie, LA 70001-1172
Phone (504) 704-1254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2024 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Elite Performance Group Current Accepting new patients
Jacques Courseault, MD, PC Current Accepting new patients
The Fascia Institute and Treatment Center, LLC Current Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G PastSince Aug 1, 2015 Accepting new patients

Locations

2520 Harvard Ave
Ste 2B
Metairie, LA 70001
Phone (504) 454-3004

Interoperability endpoints

  • Direct secure messaging: fasciainstitute@org168.direct.charmhealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1205152162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 HARVARD AVE STE 2B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011172",
            "telephone_number": "504-704-1254",
            "fax_number": "866-572-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 HARVARD AVE STE 2B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011172",
            "telephone_number": "504-704-1254",
            "fax_number": "866-572-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURSEAULT",
        "first_name": "JACQUES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "MD.205114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.