NPIMap

Organization Active NPI

Thibodaux Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Thibodaux, LA
National Provider Identifier
1366505299
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
00299 Issued in LA
Legal business name
THIBODAUX PHYSICAL THERAPY, INC.
Practice address
104 E Bayou Rd
Thibodaux, LA 70301-3036
Phone
(985) 446-3736
Fax
(985) 446-3701
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Mr. Craig Gerard Hebert, P.T.
Title
President
Phone
(985) 446-3736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 00299 LA Primary

Addresses

Primary practice location

104 E Bayou Rd
Thibodaux, LA 70301-3036

Mailing address

104 E Bayou Rd
Thibodaux, LA 70301-3036
Phone (985) 446-3736

National Provider Directory

National Provider Directory

Locations

104 E Bayou Rd
Thibodaux, LA 70301
Phone (985) 446-3736

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1366505299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E BAYOU RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703013036",
            "telephone_number": "985-446-3736",
            "fax_number": "985-446-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E BAYOU RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703013036",
            "telephone_number": "985-446-3736",
            "fax_number": "985-446-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIBODAUX PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-446-3736",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "00299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.