Individual provider Active NPI

Susan Shiflett Ducote, PT PCS

  • Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1366501710
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0344 Issued in LA
Practice address
11140 N Harrells Ferry Rd
Baton Rouge, LA 70816-8307
Phone
(225) 272-0150
Fax
(225) 275-0930
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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 0344 LA Primary

Addresses

Primary practice location

11140 N Harrells Ferry Rd
Baton Rouge, LA 70816-8307

Mailing address

11140 N Harrells Ferry Rd
Baton Rouge, LA 70816-8307
Phone (225) 272-0150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080310000461 LA Practitioner - Physical Therapist in Private Practice 0042395444 Practice locations: Baton Rouge, LA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11140 N Harrell'S Ferry Rd
Baton Rouge, LA 70816-8307
Phone (225) 272-0150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0344LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurotherapy Specialists Inc Physical Therapist Past Accepting new patients

Organizations & group practices 1

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1366501710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11140 N HARRELLS FERRY RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168307",
            "telephone_number": "225-272-0150",
            "fax_number": "225-275-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 N HARRELLS FERRY RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168307",
            "telephone_number": "225-272-0150",
            "fax_number": "225-275-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCOTE",
        "first_name": "SUSAN",
        "middle_name": "SHIFLETT",
        "name_prefix": "Mrs.",
        "credential": "PT PCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "0344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.