Ronald Dewey Stailey, PTA – Physical Therapist

Key facts

NPI: 1295335693
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: A10660 (LA)
Practice address: 17094 Airline Hwy
Prairieville, LA 70769-3400
Phone: (225) 677-8400
Fax: (225) 677-8484
NPI assigned: Oct 27, 2020
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Advantage Therapy Services, L.L.C. Physical Therapist · Prairieville, LA · NPI 1356400345

NPD PHYSICAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
A10660	LA	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Advantage Therapy Services, L.L.C.	Physical Therapist	Current since Aug 22, 2023	Accepting new patients

Locations

17094 Airline Hwy
Prairieville, LA 70769
Phone (225) 677-8400

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	A10660	LA	Yes

Addresses

Primary practice location

17094 Airline Hwy
Prairieville, LA 70769-3400

Mailing address

17094 Airline Hwy
Prairieville, LA 70769-3400
Phone (225) 677-8400

Other providers in Prairieville, LA

All providers in Prairieville, LA · Physical Therapist in Louisiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.