The Fascia Performance Group, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THE FASCIA PERFORMANCE GROUP, LLC

Practice address

1600 Saint Charles Ave # 1B
New Orleans, LA 70130-4436

Phone

(504) 704-1254

Fax

(866) 572-0930

NPI assigned

Jan 8, 2025

Last updated

Apr 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacques Courseault, MDNPI 1205152162

Title

Ceo

Phone

(504) 386-3488

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, and the practitioner matching its NPPES authorized official.

• Jacques L Courseault, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Metairie, LA
  • NPI 1205152162
  Authorized official Same address or phone

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1336959766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SAINT CHARLES AVE # 102",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701304436",
            "telephone_number": "504-386-3488",
            "fax_number": "800-471-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SAINT CHARLES AVE # 1B",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701304436",
            "telephone_number": "504-704-1254",
            "fax_number": "866-572-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FASCIA PERFORMANCE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "COURSEAULT",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-386-3488",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in New Orleans, LA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.