Individual provider Active NPI

Lauren Pitre

  • Physical Therapist
  • Lake Charles, LA
National Provider Identifier
1366998973
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
09346 Issued in LA
Practice address
1714 Wolf Cir
Lake Charles, LA 70605
Phone
(337) 508-2505
Fax
(337) 508-2505
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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 09346 LA Primary

Addresses

Primary practice location

1714 Wolf Cir
Lake Charles, LA 70605

Mailing address

1714 Wolf Cir
Lake Charles, LA 70605-2353
Phone (337) 508-2505

Other identifiers 1

IdentifierTypeStateIssuer
09346OtherLALICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161228001928 LA Practitioner - Physical Therapist in Private Practice 8426339730 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maxx Therapy of Lake Charles LLCGroup PAC ID 5395271464, 7 clinicians

Practice addresses (Care Compare)

1714 Wolf Cir
Lake Charles, LA 70605-2353
Phone (337) 508-2505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maxx Physical Therapy, LLC Physical Therapist CurrentSince Jan 2, 2020 Accepting new patients
Maxx Therapy of Lake Charles LLC Physical Therapist CurrentSince Nov 11, 2024 Accepting new patients
Therapy Center of Jefferson Davis Parish, Inc Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients
Lemoine Therapy Services of Cenla Inc Physical Therapist PastSince Apr 1, 2019 Accepting new patients

Locations

2002 Johnson St
Ste 100
Jennings, LA 70546
Phone (337) 824-8287

4451 Nelson Rd
Lake Charles, LA 70605
Phone (337) 480-0027

1714 Wolf Cir
Lake Charles, LA 70605
Phone (337) 240-9511

Organizations & group practices 4

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1366998973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 WOLF CIR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052353",
            "telephone_number": "337-508-2505",
            "fax_number": "337-508-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 WOLF CIR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70605",
            "telephone_number": "337-508-2505",
            "fax_number": "337-508-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITRE",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "09346",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.