Active NPI
Adam Lafleur, PT
- Physical Therapist
- Breaux Bridge, LA
National Provider Identifier
1396735825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 06409
- Practice address
- 1032 Timber Trails Rd
Breaux Bridge, LA 70517-6544 - Phone
- (337) 344-0957
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 06409 | LA | Primary |
Addresses
Primary practice location
1032 Timber Trails Rd
Breaux Bridge, LA 70517-6544
Mailing address
1032 Timber Trails Rd
Breaux Bridge, LA 70517-6544
Phone (337) 344-0957
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1327301 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06409 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1396735825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 TIMBER TRAILS RD",
"city": "BREAUX BRIDGE",
"state": "LA",
"postal_code": "705176544",
"telephone_number": "337-344-0957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1032 TIMBER TRAILS RD",
"city": "BREAUX BRIDGE",
"state": "LA",
"postal_code": "705176544",
"telephone_number": "337-344-0957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFLEUR",
"first_name": "ADAM",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "06409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1327301",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Breaux Bridge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.