Advantage Therapy Services, L.L.C.
Organization Active NPI Physical Therapist · Prairieville, LA
NPI 1356400345 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1356400345
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ADVANTAGE THERAPY SERVICES, L.L.C.
- Practice address
- 17709 Old Jefferson Hwy Ste a
Prairieville, LA 70769-3977 - Phone
- (225) 677-8400
- Fax
- (225) 677-8484
- NPI assigned
- Dec 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Bradley T Chapman, P.T.
- Title
- Owner
- Phone
- (225) 677-8400
Practitioners 9
-
Bradley Chapman, P.T.
-
Christie Cryer Louque, LOTR
-
Albert Pickett, D.P.T.
-
Abigail Hicks, DPT
-
Brandy Poche, LOTR
-
Ronald Dewey Stailey, PTA
-
Kaleb Thompson, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140904002363 | LA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 6305821414 |
Receives reassigned benefits from 5 practitioners Practice locations: Prairieville, LA |
National Provider Directory
Locations
17709 Old Jefferson Hwy
Ste A
Prairieville, LA 70769
Phone (225) 677-8400
17094 Airline Hwy
Prairieville, LA 70769
Phone (225) 677-8400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | LA | Yes | |
| Occupational Therapist |
225X00000X | LA |
Addresses
Primary practice location
17709 Old Jefferson Hwy Ste a
Prairieville, LA 70769-3977
Mailing address
17709 Old Jefferson Hwy Ste a
Prairieville, LA 70769-3977
Phone (225) 677-8400
Other practice location 1
17316 Airline Hwy
Suite O
Prairieville, LA 70769-3377
Phone (225) 677-8400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G7649 | Other | LA | BLUE CROSS BLUE SHIELD |
Other names
- ADVANTAGE THERAPY
Other providers in Prairieville, LA
- Steven Nathan Abramson
- Access Autism Testing & Consultation, LLC
- Access Health Care Services
- Accunerve LLC
- Melissa Annette Adams
- Donna Paninski Aguillard
- Kylie Aiken
- Morton Joseph Aime
- Kathryn Alexander
- Terrance Alexander
All providers in Prairieville, LA · Physical Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.