Active NPI
Brad Daigle, MPT
- Physical Therapist
- Jennings, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT06440
- Practice address
- 1322 Elton Rd
Suite I
Jennings, LA 70546-4138 - Phone
- (337) 824-5488
- Fax
- (337) 824-5488
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT06440 | LA | Primary |
Addresses
Primary practice location
1322 Elton Rd
Suite I
Jennings, LA 70546-4138
Mailing address
1322 Elton Rd
Suite I
Jennings, LA 70546-4138
Phone (337) 824-5488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040902000907 | LA | Practitioner - Physical Therapist in Private Practice | 8729054697 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Thibodeaux Albro and Touchet Therapy Group LLC
Practice addresses (Care Compare)
1322 Elton Rd
Suite 1
Jennings, LA 70546-4100
Phone (337) 824-5488
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT06440 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thibodeaux, Albro & Touchet Therapy Group, LLC | Physical Therapist | Current | Accepting new patients |
| Xcel Therapy Solutions, LLC | Physical Therapist | Past | Accepting new patients |
| Calcasieu Therapy Group LLC | Physical Therapist | Past | Accepting new patients |
| Southwest Louisiana Sports and Rehabilitation Center, LLC | Physical Therapist | Past | Accepting new patients |
| Thibodeaux, Albro & Touchet Therapy Group, Inc | Physical Therapist | Past | Accepting new patients |
| Kinder Therapy Group, LLC | Physical Therapist | Past | Accepting new patients |
Locations
1113 E Northern Ave
Crowley, LA 70526
Phone (337) 783-5577
1322 Elton Rd
Ste 1
Jennings, LA 70546
1322 Elton Rd
Ste I
Jennings, LA 70546
Phone (337) 616-8099
Organizations & group practices 6
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.
-
- Physical Therapist
- Jennings, LA
- NPI 1104973262
LA, Physical Therapist
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- Moss Bluff, LA
- NPI 1487085320
-
- Physical Therapist
- Kinder, LA
- NPI 1912780578
-
- Physical Therapist
- Lake Charles, LA
- NPI 1841357761
-
- Occupational Therapist
- Jennings, LA
- NPI 1699719054
Physical Therapist
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Winnsboro, LA
- NPI 1497900476
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199750400000",
"number": "1386680098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1322 ELTON RD",
"address_2": "SUITE I",
"city": "JENNINGS",
"state": "LA",
"postal_code": "705464138",
"telephone_number": "337-824-5488",
"fax_number": "337-824-5488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1322 ELTON RD",
"address_2": "SUITE I",
"city": "JENNINGS",
"state": "LA",
"postal_code": "705464138",
"telephone_number": "337-824-5488",
"fax_number": "337-824-5488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAIGLE",
"first_name": "BRAD",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2008-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "PT06440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jennings, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.