Active NPI
Shannon J Lemoine, PT
- Physical Therapist
- Marksville, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03213
- Practice address
- 554 Tunica Dr W
Marksville, LA 71351-2627 - Phone
- (318) 240-7680
- Fax
- (318) 240-7681
- NPI assigned
- Jan 22, 2007
- Last updated
- Nov 20, 2018
- 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 | 03213 | LA | Primary |
Addresses
Primary practice location
554 Tunica Dr W
Marksville, LA 71351-2627
Mailing address
2002 Johnson St
Ste 100
Jennings, LA 70546-3640
Phone (318) 240-7680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2002 Johnson St
Suite 100
Jennings, LA 70546-3640
Phone (337) 824-4547
7406 Hwy 1
Suite 102
Mansura, LA 71350-4204
Phone (318) 240-7680
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lemoine Therapy Services of Cenla Inc | Physical Therapist | Current | Accepting new patients |
| Therapy Center of Jefferson Davis Parish, Inc | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Clinic of Carencro LLC | Physical Therapist | Past | Accepting new patients |
Locations
4501 Jackson St
Ste D
Alexandria, LA 71303
Phone (318) 704-0710
204 E Saint Peter St
Carencro, LA 70520
Phone (337) 896-6685
1401 Church St
Jeanerette, LA 70544
Phone (337) 276-2803
2002 Johnson St
Ste 100
Jennings, LA 70546
Phone (337) 824-8287
105 Patriot St
Ste 201
Lafayette, LA 70508
Phone (337) 345-1957
4451 Nelson Rd
Lake Charles, LA 70605
Phone (337) 480-0027
7406 Highway 1
Ste 102
Mansura, LA 71350
Phone (318) 240-7680
554 Tunica Dr W
Marksville, LA 71351
Phone (318) 240-7680
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Acadia St. Landry Nursing & Rehabilitation Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (7.5%) Adp of the SNF |
Jul 15, 2022 Jul 15, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Acadia St. Landry Nursing & Rehabilitation Center
- Nursing Facility/Intermediate Care Facility
- Church Point, LA
- NPI 1487380127
5% Or Greater Indirect Ownership Interest, Adp of the SNF
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Mansura, LA
- NPI 1336242767
-
- Physical Therapist
- Jennings, LA
- NPI 1508971045
-
- Physical Therapist
- Carencro, LA
- NPI 1669557906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542672000000",
"number": "1346394244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 JOHNSON ST",
"address_2": "STE 100",
"city": "JENNINGS",
"state": "LA",
"postal_code": "705463640",
"telephone_number": "318-240-7680",
"fax_number": "318-240-7681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "554 TUNICA DR W",
"city": "MARKSVILLE",
"state": "LA",
"postal_code": "713512627",
"telephone_number": "318-240-7680",
"fax_number": "318-240-7681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMOINE",
"first_name": "SHANNON",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2018-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "03213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marksville, LA
- Labordes Freedom Pharmacy
- Harold T Lacassin, DC
- Amber S Laprairie, OT
- Jessica L. Lemoine, MS,CCC-SLP
- John Edward Lemoine, M.D.
- Veda Elaine Lewis, RN,LMT
- Kenton R. Logan, P.T.
- Louisiana CVS Pharmacy, L.L.C. (CVS Pharmacy)
- Louisiana Health Care Practitioners LLC (Marksville Family Clinic)
- Louisiana Kidney Specialists
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.