Individual provider Active NPI

Raymond E Prince Jr., DPT

  • Physical Therapist
  • Lake Charles, LA
National Provider Identifier
1245259290
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
06966 Issued in LA
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

Updated by the provider on Jul 8, 2007

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 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 IDStateProvider typePAC IDDetails
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
Southwest Louisiana Sports and Rehabilitation Center, LLCGroup PAC ID 5890854434, 11 clinicians
Lake Charles Sports and RehabGroup PAC ID 2961802293, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Calcasieu Therapy Group LLC Physical Therapist CurrentSince Jan 1, 2014 Accepting new patients
Southwest Louisiana Sports and Rehabilitation Center, LLC Physical Therapist CurrentSince May 1, 2007 Accepting new patients
Iowa Therapy Group LLC Physical Therapist CurrentSince Apr 1, 2007 Accepting new patients
Lake Charles Sports & Rehab Physical Therapist CurrentSince May 1, 2021 Accepting new patients
Xcel Therapy Solutions, LLC Physical Therapist Past Accepting new patients
Kinder Therapy Group, LLC Physical Therapist PastSince Nov 26, 2023 Accepting new patients
Thibodeaux, Albro & Touchet Therapy Group, LLC Physical Therapist PastSince Jul 1, 2011 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.

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

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.

Verify at the official NPI Registry.