NPIMap

Organization Active NPI

Moreau Physical Therapy Inc.

  • Physical Therapist
  • Gonzales, LA
National Provider Identifier
1285407122
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MOREAU PHYSICAL THERAPY INC.
Practice address
577 W Highway 30 Ste D
Gonzales, LA 70737-4811
Phone
(225) 465-2233
Fax
(225) 529-2433
NPI assigned
Nov 2, 2023
Last updated
Sep 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Cristina M Faucheux, PTNPI 1710976717
Title
Vice President
Phone
(225) 654-8208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

577 W Highway 30 Ste D
Gonzales, LA 70737-4811

Mailing address

4324 S Sherwood Forest Blvd Ste B170
Baton Rouge, LA 70816-4481
Phone (225) 654-8208

Other names 1

  • Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82 Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Moreau Physical Therapy16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1285407122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 S SHERWOOD FOREST BLVD STE B170",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164481",
            "telephone_number": "225-654-8208",
            "fax_number": "225-654-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 W HIGHWAY 30 STE D",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374811",
            "telephone_number": "225-465-2233",
            "fax_number": "225-529-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOREAU PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "FAUCHEUX",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "225-654-8208",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.