Active NPI
John Rocco Borromeo De Lara, PT
- Physical Therapist
- Houma, LA
National Provider Identifier
1265619589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02594F
- Practice address
- 252 Tyler Christian Dr
Houma, LA 70360-8927 - Phone
- (985) 209-2511
- NPI assigned
- Jan 29, 2008
- 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 | 02594F | LA | Primary |
Addresses
Primary practice location
252 Tyler Christian Dr
Houma, LA 70360-8927
Mailing address
252 Tyler Christian Dr
Houma, LA 70360-8927
Phone (985) 209-2511
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
| License | State | Type | Specialty |
|---|---|---|---|
| 02594F | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1265619589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 TYLER CHRISTIAN DR",
"city": "HOUMA",
"state": "LA",
"postal_code": "703608927",
"telephone_number": "985-209-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 TYLER CHRISTIAN DR",
"city": "HOUMA",
"state": "LA",
"postal_code": "703608927",
"telephone_number": "985-209-2511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LARA",
"first_name": "JOHN ROCCO",
"middle_name": "BORROMEO",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-29",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "02594F",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.