Dustin Drewes, PT, DPT
Individual provider Active NPI Physical Therapist · Ponchatoula, LA
NPI 1255110482 · NPPES record last updated Sep 26, 2023
Key facts
- NPI
- 1255110482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11532 (LA)
- Practice address
- 301 Beauregard St
Ponchatoula, LA 70454-3933 - Phone
- (504) 613-7662
- NPI assigned
- Sep 26, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11532 | LA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11532 | LA | Yes |
Addresses
Primary practice location
301 Beauregard St
Ponchatoula, LA 70454-3933
Mailing address
301 Beauregard St
Ponchatoula, LA 70454-3933
Phone (504) 613-7662
Other providers in Ponchatoula, LA
- Sarah Desselles
- Ariel Ortiz Dias
- Tamika Dillon
- Monica Wilson Doherty
- Douglas M George DDS LLC
- Embarc Wellness
- Michelle Evans
- Evergreen Presbyterian Ministries, Inc.
- Evergreen Presbyterian Ministries, Inc.
- Evergreen Presbyterian Ministries, Inc.
All providers in Ponchatoula, LA · Physical Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.