Iberia Therapy Services

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LA2943470001 Issued in LA

Legal business name

IBERIA THERAPY SERVICES

Practice address

516 Jefferson Terrace Blvd
Suite 300
New Iberia, LA 70560

Phone

(337) 364-6366

Fax

(337) 364-6166

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Dionne C Robinson

Title

Manager

Phone

(337) 364-6366

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Bryan Hicks, PT

  • Physical Therapist
  • New Iberia, LA
  • NPI 1619146289
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306998646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 JEFFERSON TERRACE BLVD",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "70560",
            "telephone_number": "337-364-6366",
            "fax_number": "337-364-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 JEFFERSON TERRACE BLVD",
            "address_2": "SUITE 300",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "70560",
            "telephone_number": "337-364-6366",
            "fax_number": "337-364-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBERIA THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "DIONNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "337-364-6366",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "LA2943470001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Iberia Sleep Center, LLC
• Iberia Sports and Rehabilitation, LLC.
• Iberia-Amg Physical Rehabilitation Hospital, LLC
• Jennifer Joyce Ingolia
• Tihisha Denell Ingraham, PHARMACY D
• Innovative Home Health Services, Inc.
• Integrity Managed Care Systems

• Physical Therapist in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.