Active NPI
Abby Leblanc, DPT
- Physical Therapist
- Alexandria, LA
National Provider Identifier
1255739652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 08636
- Practice address
- 804 Versailles Blvd
Alexandria, LA 71303-2353 - Phone
- (318) 376-5650
- NPI assigned
- Dec 17, 2014
- Sex
- Female
- 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 | 08636 | LA | Primary |
Addresses
Primary practice location
804 Versailles Blvd
Alexandria, LA 71303-2353
Mailing address
804 Versailles Blvd
Alexandria, LA 71303-2353
Phone (318) 376-5650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 385215YQA9 | Other | MEDICARE PTAN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08636 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1255739652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 VERSAILLES BLVD",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713032353",
"telephone_number": "318-376-5650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 VERSAILLES BLVD",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713032353",
"telephone_number": "318-376-5650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBLANC",
"first_name": "ABBY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-17",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "08636",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "385215YQA9",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.