Individual provider Active NPI

Brad Daigle, MPT

  • Physical Therapist
  • Jennings, LA
National Provider Identifier
1386680098
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT06440 Issued in LA
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

Updated by the provider on Jan 8, 2008

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 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 IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 7719081801, 8 clinicians

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

LicenseStateTypeSpecialty
PT06440LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thibodeaux, Albro & Touchet Therapy Group, LLC Physical Therapist CurrentSince Jan 1, 2007 Accepting new patients
Xcel Therapy Solutions, LLC Physical Therapist Past Accepting new patients
Calcasieu Therapy Group LLC Physical Therapist PastSince May 23, 2022 Accepting new patients
Southwest Louisiana Sports and Rehabilitation Center, LLC Physical Therapist PastSince Dec 28, 2010 Accepting new patients
Thibodeaux, Albro & Touchet Therapy Group, Inc Physical Therapist Past Accepting new patients
Kinder Therapy Group, LLC Physical Therapist PastSince Nov 26, 2023 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.

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.

Verify at the official NPI Registry.