Premier Performance Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PREMIER PERFORMANCE PHYSICAL THERAPY

Practice address

103 W Gibson St Ste 102
Jasper, TX 75951-4974

Phone

(337) 202-7045

Fax

(337) 202-7047

NPI assigned

Jan 15, 2024

Last updated

Jan 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cody Leblanc, PT, DPTNPI 1568966323

Title

Owner/Physical Therapist

Phone

(337) 202-7045

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cody Ray Leblanc, DPT, PT

  • Physical Therapist
  • Deridder, LA
  • NPI 1568966323

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1215708599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19503 LAKE CHARLES HWY",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706342313",
            "telephone_number": "337-202-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W GIBSON ST STE 102",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514974",
            "telephone_number": "337-202-7045",
            "fax_number": "337-202-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PERFORMANCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "337-202-7045",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piney Woods Speech Pathology, PLLC
• Porter Transportation LLC
• Cheadrick Demon Porter
• Positive Change Behavioral, Inc.
• Robert E Post, PA
• Premise Health of Texas Medical PA (LP -Jasper)
• Julie Annette Prewitt, LBSW
• Prosperity One Call Transportation LLC
• R & J Health Services LLC (St.Christopher's Home Health Care)
• Kellie Michele Ramirez, M.S., CCC-SLP

• Physical Therapist in Jasper, TX
• Providers in Jasper, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.