Trevor D. Bardarson, P.T., OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT03384F Issued in LA

Practice address

478 Corporate Dr.
Houma, LA 70360-2461

Phone

(985) 872-5911

Fax

(985) 872-6155

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Isr Physical Therapy of HoumaGroup PAC ID 4789621079, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Isr Physical Therapy of Houma

  • Physical Therapist
  • Houma, LA
  • NPI 1194789669
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265530364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 CORPORATE DR.",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602461",
            "telephone_number": "985-872-5911",
            "fax_number": "985-872-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 CORPORATE DR.",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602461",
            "telephone_number": "985-872-5911",
            "fax_number": "985-872-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDARSON",
        "first_name": "TREVOR",
        "middle_name": "D.",
        "credential": "P.T., OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "PT03384F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher J. Bailey, LCSW
• Sarah Corkran Bailey
• Runiqa Darby Baker, LPC, NCC
• Tavis Baptiste
• Annie Trahan Barahona, FNP
• Allyson Michelle Barker, PA-C
• Monica Barletta
• Kimberley Joyce Barner, M.D.
• Barnes Rehabilitation Center
• Julie Elizabeth Barnes

• Physical Therapist in Houma, LA
• Providers in Houma, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.