Active NPI
Raymond E Prince Jr., DPT
- Physical Therapist
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 06966
- Practice address
- 223 S Ryan St
Lake Charles, LA 70601-5974 - Phone
- (337) 721-1961
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- 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 | 06966 | LA | Primary |
Addresses
Primary practice location
223 S Ryan St
Lake Charles, LA 70601-5974
Mailing address
4008 S Beglis Pkwy
Sulphur, LA 70665-8120
Phone (337) 558-5949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060302000297 | LA | Practitioner - Physical Therapist in Private Practice | 9537175369 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
208 W McNeese St
Lake Charles, LA 70605-5638
Phone (337) 475-1053
4150 Nelson Rd
Suite 1
Lake Charles, LA 70605-4148
Phone (337) 660-2996
900 Cypress St
Sulphur, LA 70663-5107
Phone (337) 528-2828
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calcasieu Therapy Group LLC | Physical Therapist | Current | Accepting new patients |
| Southwest Louisiana Sports and Rehabilitation Center, LLC | Physical Therapist | Current | Accepting new patients |
| Iowa Therapy Group LLC | Physical Therapist | Current | Accepting new patients |
| Lake Charles Sports & Rehab | Physical Therapist | Current | Accepting new patients |
| Xcel Therapy Solutions, LLC | Physical Therapist | Past | Accepting new patients |
| Kinder Therapy Group, LLC | Physical Therapist | Past | Accepting new patients |
| Thibodeaux, Albro & Touchet Therapy Group, LLC | Physical Therapist | Past | Accepting new patients |
| Meche and Callaba Therapeutic Services, LLC | Physical Therapist | Past | Accepting new patients |
Locations
605 N Thomson Ave
Iowa, LA 70647
Phone (337) 582-4242
1322 Elton Rd
Ste I
Jennings, LA 70546
Phone (337) 616-8099
646 W McNeese St
Lake Charles, LA 70605
Phone (337) 439-5588
4150 Nelson Rd
Ste 1
Lake Charles, LA 70605
Phone (337) 474-2056
208 W McNeese St
Lake Charles, LA 70605
Phone (337) 475-1053
4150 Nelson Rd
Ste D1
Lake Charles, LA 70605
Phone (337) 474-6960
486 N Highway 171
Moss Bluff, LA 70611
Phone (337) 217-0997
900 Cypress St
Sulphur, LA 70663
Phone (337) 528-2828
Organizations & group practices 8
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.
-
- Physical Therapist
- Lake Charles, LA
- NPI 1194301317
LA, Physical Therapist
-
- Physical Therapist
- Lake Charles, LA
- NPI 1841357761
LA, Physical Therapist
-
- Physical Therapist
- Kinder, LA
- NPI 1912780578
-
- Physical Therapist
- Lake Charles, LA
- NPI 1881672764
-
- Physical Therapist
- Jennings, LA
- NPI 1104973262
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Winnsboro, LA
- NPI 1497900476
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245259290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4008 S BEGLIS PKWY",
"city": "SULPHUR",
"state": "LA",
"postal_code": "706658120",
"telephone_number": "337-558-5949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 S RYAN ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015974",
"telephone_number": "337-721-1961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "RAYMOND",
"middle_name": "E",
"name_suffix": "Jr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "06966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
- Primary Physician Care, LLC
- Primary Rehabilitation Services, Inc.
- Erin Primeaux, M.A., LPC
- Lindsey Nicole Primeaux, OD
- Thad Michael Primeaux, MD
- Shayna Alexis Prince
- Priority Wound Care Lymphedema & Hyperbaric Healing Center of Louisiana LLC
- Professional Emergency Medicine Management -- Lake Charles LLC
- Karen Fae Proffitt
- Prosthetic Solutions Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.