Individual provider Active NPI

David Trey Duke, PT

  • Physical Therapist
  • Bastrop, LA
National Provider Identifier
1306833892
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
04497F Issued in LA
Practice address
1907 E Madison Ave
Bastrop, LA 71220-4069
Phone
(318) 283-8384
Fax
(318) 283-8355
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 04497F LA Primary

Addresses

Primary practice location

1907 E Madison Ave
Bastrop, LA 71220-4069

Mailing address

1815 Roselawn Ave
Monroe, LA 71201-5433
Phone (318) 322-7050

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04497FLAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Parish Therapy Center LLC Physical Therapist PastSince Apr 1, 2026 Accepting new patients
Jesse L Wied PT Physical Therapy Clinic Inc Physical Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306833892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 ROSELAWN AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015433",
            "telephone_number": "318-322-7050",
            "fax_number": "318-322-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 E MADISON AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204069",
            "telephone_number": "318-283-8384",
            "fax_number": "318-283-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKE",
        "first_name": "DAVID",
        "middle_name": "TREY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "04497F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.