Individual provider Active NPI

Claire Louise Manuel, PT,DPT

  • Physical Therapist
  • Lake Charles, LA
National Provider Identifier
1407289531
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
08097 Issued in LA
Practice address
330 Alamo St
Ste 5
Lake Charles, LA 70601-8584
Phone
(337) 245-2529
Fax
(337) 509-1125
NPI assigned
Aug 13, 2013
Last updated
Oct 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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 08097 LA Primary

Addresses

Primary practice location

330 Alamo St
Ste 5
Lake Charles, LA 70601-8584

Mailing address

5292 Nautical Dr
Lake Charles, LA 70615-3237
Phone (337) 245-2529

Other identifiers 1

IdentifierTypeStateIssuer
08097OtherLAPHYSICAL THERAPY LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181115002837 LA Practitioner - Physical Therapist in Private Practice 0749410678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Center of Jefferson Davis Parish, IncGroup PAC ID 0345207544, 19 clinicians

Practice addresses (Care Compare)

2002 Johnson St
Suite 100
Jennings, LA 70546-3640
Phone (337) 824-4547

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08097LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Center of Jefferson Davis Parish, Inc Physical Therapist CurrentSince May 1, 2019 Accepting new patients
Lemoine Therapy Services of Cenla Inc Physical Therapist PastSince Jan 1, 2005 Accepting new patients
Physical Therapy Clinic of Carencro LLC Physical Therapist Past Accepting new patients

Locations

204 E Saint Peter St
Carencro, LA 70520
Phone (337) 896-6685

1401 Church St
Jeanerette, LA 70544
Phone (337) 276-2803

2002 Johnson St
Jennings, LA 70546

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

105 Patriot St
Ste 201
Lafayette, LA 70508
Phone (337) 345-1957

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1407289531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5292 NAUTICAL DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706153237",
            "telephone_number": "337-245-2529",
            "fax_number": "337-509-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ALAMO ST",
            "address_2": "STE 5",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018584",
            "telephone_number": "337-245-2529",
            "fax_number": "337-509-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "CLAIRE",
        "middle_name": "LOUISE",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "08097",
            "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 Oct 28, 2021; 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.