Individual provider Active NPI

Lee Joseph Cortez, P.T.

  • Physical Therapist
  • Thibodaux, LA
National Provider Identifier
1316909427
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
04975 Issued in LA
Practice address
103 Estate Dr
Thibodaux, LA 70301-3785
Phone
(504) 214-8727
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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 04975 LA Primary

Addresses

Primary practice location

103 Estate Dr
Thibodaux, LA 70301-3785

Mailing address

103 Estate Dr
Thibodaux, LA 70301-3785
Phone (504) 214-8727

Other identifiers 1

IdentifierTypeStateIssuer
431315504COtherLABLUECROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051206000623 LA Practitioner - Physical Therapist in Private Practice 7214957117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Sports Specialists of Louisiana LLCGroup PAC ID 5991893869, 25 clinicians

Practice addresses (Care Compare)

726 N Acadia Rd
Suite 1000
Thibodaux, LA 70301-5051
Phone (985) 625-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Sports Specialists of Louisiana LLC CurrentSince Sep 15, 2014 Accepting new patients
Orthopaedic Sports Specialists of Louisiana, LLC CurrentSince Sep 15, 2014 Accepting new patients
Thibodeaux Orthopedic Clinic, Inc. Physical Therapist Past Accepting new patients

Locations

726 N Acadia Rd
Ste 1000
Thibodaux, LA 70301

Organizations & group practices 3

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1316909427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ESTATE DR",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703013785",
            "telephone_number": "504-214-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ESTATE DR",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703013785",
            "telephone_number": "504-214-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTEZ",
        "first_name": "LEE",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "04975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "431315504C",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.