Individual provider Active NPI

Remi Leigh Matherne, PT

  • Physical Therapist
  • Covington, LA
National Provider Identifier
1245071273
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11791 Issued in LA
Practice address
476 Falconer Dr
Covington, LA 70433-8235
Phone
(985) 871-7878
Fax
(985) 871-9355
NPI assigned
Jun 4, 2024
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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 11791 LA Primary

Addresses

Primary practice location

476 Falconer Dr
Covington, LA 70433-8235

Mailing address

476 Falconer Dr
Covington, LA 70433-8235
Phone (985) 871-7878

Other practice location 1

4626 Highway 22
Mandeville, LA 70471-2820
Phone (985) 871-7878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240621002554 LA Practitioner - Physical Therapist in Private Practice 1355884099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Louisiana State University School of Medicine in Shreveport, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab Dynamics LLCGroup PAC ID 5890765929, 5 clinicians

Practice addresses (Care Compare)

476 Falconer Dr
Covington, LA 70433-8235
Phone (985) 871-7878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11791LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Dynamics, LLC Physical Therapist CurrentSince Jun 12, 2024 Accepting new patients

Locations

476 Falconer Dr
Covington, LA 70433
Phone (985) 871-7878

4626 Highway 22
Mandeville, LA 70471
Phone (985) 792-7990

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1245071273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 FALCONER DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338235",
            "telephone_number": "985-871-7878",
            "fax_number": "985-871-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 FALCONER DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338235",
            "telephone_number": "985-871-7878",
            "fax_number": "985-871-9355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4626 Highway 22",
            "address_purpose": "LOCATION",
            "city": "Mandeville",
            "state": "LA",
            "postal_code": "704712820",
            "country_code": "US",
            "telephone_number": "985-871-7878",
            "fax_number": "985-871-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHERNE",
        "first_name": "REMI",
        "middle_name": "LEIGH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.

Verify at the official NPI Registry.