Peyton Dufour

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11765 Issued in LA

Practice address

102 Woodland Hwy Ste 1
Belle Chasse, LA 70037-1674

Phone

(504) 392-7000

NPI assigned

May 20, 2024

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epic Physical Therapy, LLCGroup PAC ID 2860822731, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Epic Physical Therapy, LLC

  • Physical Therapist
  • Belle Chasse, LA
  • NPI 1720621642
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1275372336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 BELLE CHASSE HWY",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700567056",
            "telephone_number": "504-362-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WOODLAND HWY STE 1",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700371674",
            "telephone_number": "504-392-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1610 Belle Chasse Hwy",
            "address_purpose": "LOCATION",
            "city": "Terrytown",
            "state": "LA",
            "postal_code": "700567056",
            "country_code": "US",
            "telephone_number": "504-362-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFOUR",
        "first_name": "PEYTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denis Lockler, Anp, PLLC
• Dept of Health & Hospitals (Plaquemines Behavioral Health Clinic)
• Destiny Chiropractic Clinic LLC
• Jeffrey Ciro Dimarco, RPH
• Mary Grace Jordan Douglas, PT
• Epic Physical Therapy, LLC
• Essential Intentions Counseling, LLC
• Fast Aid Medical LLC
• Fast Aid Urgent Care- Belle Chasse
• Kimberly M Flemings

• Physical Therapist in Belle Chasse, LA
• Providers in Belle Chasse, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.