Tracy L Bouy, DPT, MTC
Individual provider Active NPI Physical Therapist · Youngsville, LA
NPI 1376694638 · NPPES record last updated Jun 27, 2013
Key facts
- NPI
- 1376694638
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 06880R (LA)
- Practice address
- 24 Oakthorn CT
Youngsville, LA 70592-5464 - Phone
- (337) 517-1040
- Fax
- (337) 856-6576
- NPI assigned
- Jan 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06880R | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic & Sports Physical Therapy Clinic of Lafayette Inc | Physical Therapist | Past |
Accepting new patients |
| Physical Therapy Clinic of Rayne, Inc. | Physical Therapist | Past |
Accepting new patients |
| Boulet Rehabilitation Services, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 06880R | LA | Yes |
Addresses
Primary practice location
24 Oakthorn CT
Youngsville, LA 70592-5464
Mailing address
24 Oakthorn CT
Youngsville, LA 70592-5464
Phone (337) 517-1040
Other names
- Mrs. Tracy Hebert
Other providers in Youngsville, LA
- Hari Bogabathina
- Makynzi Bonnette
- Nicole Elizabeth Bordelon
- Kennedie C Bourque
- Taylor Boutte
- Erin Nicole Boyne
- Lauren Bradley
- Pepper Marie Brasseaux
- Shelby Boesch Breaux
- Naya Brooks
All providers in Youngsville, 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 Jun 27, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.