Active NPI
Gregory Paul Ladouceur, PT
- Physical Therapist
- Saint Paul, MN
National Provider Identifier
1265407860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4278
- Practice address
- 155 Wabasha St S
Suite 130
Saint Paul, MN 55107-1801 - Phone
- (651) 291-7047
- Fax
- (651) 291-2505
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- 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 | 4278 | MN | Primary |
Addresses
Primary practice location
155 Wabasha St S
Suite 130
Saint Paul, MN 55107-1801
Mailing address
1459 Stanford Ave
Saint Paul, MN 55105-2416
Phone (651) 690-2056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4278 | Other | MN | PT LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1265407860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1459 STANFORD AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551052416",
"telephone_number": "651-690-2056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 WABASHA ST S",
"address_2": "SUITE 130",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551071801",
"telephone_number": "651-291-7047",
"fax_number": "651-291-2505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADOUCEUR",
"first_name": "GREGORY",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "4278",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "4278",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.