Active NPI
Petrus Therapy LLC
- Hearing and Speech Clinic/Center
- Monroe, LA
National Provider Identifier
1295180453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- License
- 5768
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.