Individual provider Active NPI

Tracy Peltier, P.T.

  • Physical Therapist
  • Houma, LA
National Provider Identifier
1316910375
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01848 Issued in LA
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

Updated by the provider on Apr 11, 2013

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 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 IDStateProvider typePAC IDDetails
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. 8 clinicians

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

LicenseStateTypeSpecialty
01848LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Daigle Himel Daigle Physical Therapy Center and Rehabilitation Inc Physical Therapist CurrentSince Mar 15, 2007 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.

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.

Verify at the official NPI Registry.