NPIMap

Individual provider Active NPI

Andrew Verret, PTA

  • Physical Therapy Assistant
  • Jennings, LA
National Provider Identifier
1245835602
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A4568 Issued in LA
Practice address
2002 Johnson St Ste 100
Jennings, LA 70546-3640
Phone
(337) 824-4547
Fax
(337) 824-4548
NPI assigned
Dec 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A4568 LA Primary

Addresses

Primary practice location

2002 Johnson St Ste 100
Jennings, LA 70546-3640

Mailing address

PO Box 849
Jennings, LA 70546-0849
Phone (337) 824-8287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A4568LAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Center of Jefferson Davis Parish, Inc Physical Therapy Assistant CurrentSince Dec 6, 2020 Accepting new patients
Lemoine Therapy Services of Cenla Inc PastSince Dec 6, 2020 Accepting new patients

Locations

2002 Johnson St
Ste 100
Jennings, LA 70546
Phone (337) 824-8287

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": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1245835602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705460849",
            "telephone_number": "337-824-8287",
            "fax_number": "337-824-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERRET",
        "first_name": "ANDREW",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "LA",
            "license": "A4568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jennings, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.