Individual provider Active NPI

Cathy-Anne Delaune Prieto, PT

  • Physical Therapist
  • Covington, LA
National Provider Identifier
1245649656
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
06681 Issued in LA
Practice address
653 Myrtle Drive
Covington, LA 70433
Phone
(985) 893-4700
Fax
(985) 893-3211
NPI assigned
Aug 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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 06681 LA Primary

Addresses

Primary practice location

653 Myrtle Drive
Covington, LA 70433

Mailing address

653 Myrtle Drive
Covington, LA 70433
Phone (985) 893-4700

Other identifiers 1

IdentifierTypeStateIssuer
06681OtherLASTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181010002924 LA Practitioner - Physical Therapist in Private Practice 9133471691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Physical Therapy Services LLCGroup PAC ID 3577655794, 11 clinicians

Practice addresses (Care Compare)

653 Myrtle Dr
Covington, LA 70433-8225
Phone (985) 893-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06681LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Physical Therapy Services LLC Physical Therapist CurrentSince Sep 6, 2018 Accepting new patients
Dynamic Physical Therapy Services PC Physical Therapist PastSince Sep 6, 2018 Accepting new patients

Locations

653 Myrtle Dr
Covington, LA 70433
Phone (985) 893-4700

7520 Westbank Expy
Ste D
Marrero, LA 70072
Phone (504) 371-4226

1340 Westbank Expy
Westwego, LA 70094
Phone (504) 371-4226

Organizations & group practices 2

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": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1245649656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 MYRTLE DRIVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-893-4700",
            "fax_number": "985-893-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 MYRTLE DRIVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-893-4700",
            "fax_number": "985-893-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAUNE PRIETO",
        "first_name": "CATHY-ANNE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "06681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "06681",
            "state": "LA"
        }
    ],
    "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 Oct 29, 2018; 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.