Active NPI
Danielle H Imarata, DPT
- Physical Therapist
- Zachary, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10114
- Practice address
- 1326 Church St
Zachary, LA 70791-2743 - Phone
- (225) 654-8208
- Fax
- (225) 654-4642
- NPI assigned
- Sep 17, 2018
- Sex
- Female
- 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 | 10114 | LA | Primary |
Addresses
Primary practice location
1326 Church St
Zachary, LA 70791-2743
Mailing address
1326 Church St
Zachary, LA 70791-2743
Phone (225) 654-8208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10114 | Other | LA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9373 Baringer Foreman Rd
BLDG 2
Baton Rouge, LA 70817-6200
Phone (225) 304-4749
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10114 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82 | Physical Therapist | Current | Accepting new patients |
| Center for Innovations in Evaluative Medicine, LLC | Current | Accepting new patients | |
| Moreau Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
Locations
9373 Baringer Foreman Rd
Bldg 2
Baton Rouge, LA 70817
Phone (225) 304-4749
11424 Sullivan Rd
#A-C
Baton Rouge, LA 70818
Phone (225) 261-7021
18161 E Petroleum Dr
Baton Rouge, LA 70809
Phone (225) 751-8512
4324 S Sherwood Frst
Ste B170
Baton Rouge, LA 70816
1326 Church St
Zachary, LA 70791
Phone 2256548208 ext. 1160
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 and National Provider Directory roles.
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- Baton Rouge, LA
- NPI 1770568669
-
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- NPI 1831962018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537142400000",
"number": "1215411210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1326 CHURCH ST",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707912743",
"telephone_number": "225-654-8208",
"fax_number": "225-654-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1326 CHURCH ST",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707912743",
"telephone_number": "225-654-8208",
"fax_number": "225-654-4642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMARATA",
"first_name": "DANIELLE",
"middle_name": "H",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-17",
"last_updated": "2018-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "10114",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "10114",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Zachary, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.