Organization Active NPI

Petrus Therapy LLC

  • Hearing and Speech Clinic/Center
  • Monroe, LA
National Provider Identifier
1295180453
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
5768 Issued in LA
Legal business name
PETRUS THERAPY LLC
Practice address
1605 Stubbs Ave
Monroe, LA 71201-5629
Phone
(318) 388-8414
Fax
(318) 388-8558
NPI assigned
Apr 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Mrs. Wendy Nicole Petrus, M.S.
Title
Owner
Phone
(318) 372-9732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 5768 LA Primary

Addresses

Primary practice location

1605 Stubbs Ave
Monroe, LA 71201-5629

Mailing address

406 Austin Oaks Cir
West Monroe, LA 71292-2488
Phone (318) 372-9732

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1295180453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 AUSTIN OAKS CIR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712922488",
            "telephone_number": "318-372-9732",
            "fax_number": "318-388-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 STUBBS AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015629",
            "telephone_number": "318-388-8414",
            "fax_number": "318-388-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETRUS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "PETRUS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-372-9732",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "LA",
            "license": "5768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.