Emily R Bordelon, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A8539 Issued in LA

Practice address

7406 Highway 1 Ste 102
Mansura, LA 71350-4204

Phone

(318) 240-7680

Fax

(318) 240-7681

NPI assigned

Dec 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Emily B Rabalais Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lemoine Therapy Services of Cenla Inc

  • Physical Therapist
  • Mansura, LA
  • NPI 1336242767
  NPD (past)
• Therapy Center of Jefferson Davis Parish, Inc

  • Physical Therapist
  • Jennings, LA
  • NPI 1508971045

  Physical Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1235645284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 JOHNSON ST STE 100",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463640",
            "telephone_number": "337-824-4547",
            "fax_number": "337-824-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7406 HIGHWAY 1 STE 102",
            "city": "MANSURA",
            "state": "LA",
            "postal_code": "713504204",
            "telephone_number": "318-240-7680",
            "fax_number": "318-240-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDELON",
        "first_name": "EMILY",
        "middle_name": "R",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-28",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "LA",
            "license": "A8539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "RABALAIS",
            "middle_name": "B",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Access Health Louisiana
• Leslie Dixon Andress, R.N.
• Sheakena Augustine
• Katelyn M Bellelo, PT, DPT
• Madeline A Bonnette, MS, CCC-SLP
• Greta Gremillion Bordelon, LOTR
• Meridith L Boudreaux, PTA
• Bradley Medical Supply LLC
• Charolettea Brown
• Hope Sharae Bryant, FNP

• Physical Therapy Assistant in Mansura, LA
• Providers in Mansura, LA by specialty
• Physical Therapy Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.