Active NPI
Tracy Peltier, P.T.
- Physical Therapist
- Houma, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 01848
- Practice address
- 1321 Grand Caillou Rd
Houma, LA 70363-5560 - Phone
- (985) 876-1155
- Fax
- (985) 876-1179
- NPI assigned
- Feb 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 01848 | LA | Primary |
Addresses
Primary practice location
1321 Grand Caillou Rd
Houma, LA 70363-5560
Mailing address
490 Baptiste Cir
Houma, LA 70363-8504
Phone (985) 580-0521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050819000051 | LA | Practitioner - Physical Therapist in Private Practice | 6204866205 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Louisiana State University School of Medicine in New Orleans, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Daigle Himel Daigle Physical Therapy Center and Rehabilitation Inc.
Practice addresses (Care Compare)
1321 Grand Caillou Rd
Houma, LA 70363-5560
Phone (985) 876-1155
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01848 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daigle Himel Daigle Physical Therapy Center and Rehabilitation Inc | Physical Therapist | Current | Accepting new patients |
| Crescent City Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Daigle,Himel & Daigle PT Center | Physical Therapist | Past | Accepting new patients |
Locations
1321 Grand Caillou Rd
Houma, LA 70363
Phone (504) 876-1155
125 Bayou Gardens Blvd
Houma, LA 70364
Phone (985) 223-4760
808 Bayou Ln
Thibodaux, LA 70301
Phone (985) 447-3164
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.
-
- Physical Therapy Clinic/Center
- Thibodaux, LA
- NPI 1003889072
LA, Physical Therapist
-
- Physical Therapist
- New Orleans, LA
- NPI 1043259005
-
- Physical Therapist
- Thibodaux, LA
- NPI 1487742839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1316910375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 BAPTISTE CIR",
"city": "HOUMA",
"state": "LA",
"postal_code": "703638504",
"telephone_number": "985-580-0521",
"fax_number": "985-876-1179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 GRAND CAILLOU RD",
"city": "HOUMA",
"state": "LA",
"postal_code": "703635560",
"telephone_number": "985-876-1155",
"fax_number": "985-876-1179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELTIER",
"first_name": "TRACY",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "01848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.