Louisiana Physical Therapy Centers of Pineville LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LOUISIANA PHYSICAL THERAPY CENTERS OF PINEVILLE LLC

Practice address

1135 Expressway Drive
Suite 100 B
Pineville, LA 71360

Phone

(318) 487-6525

Fax

(318) 487-6527

NPI assigned

Aug 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kenneth E McKenzie, MPT

Title

Physical Therapist Owner

Phone

(318) 487-6525

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Michael Garrigan, DPT

  • Physical Therapist
  • Pineville, LA
  • NPI 1932202496
  Medicare reassignment Care Compare group NPD
• Eric Lee Ingram, P.T.

  • Physical Therapist
  • Pineville, LA
  • NPI 1740626274
  Medicare reassignment Care Compare group NPD
• Caroline E Dessens, DPT

  • Physical Therapist
  • Alexandria, LA
  • NPI 1407164866
  Medicare reassignment NPD
• William David Prestridge, DPT

  • Physical Therapist
  • Pineville, LA
  • NPI 1912260480
  NPD
• Brad Alan Boudreaux, MD

  • Emergency Medicine Physician
  • Lafayette, LA
  • NPI 1811076995
  NPD (past)
• Kayla Conway Brown, APRN

  • Nurse Practitioner
  • Natchitoches, LA
  • NPI 1285314559
  NPD (past)
• Amanda Decoux Ho, PA

  • Physician Assistant
  • Lafayette, LA
  • NPI 1396226155
  NPD (past)
• Hannah Zaunbrecher Horton, PA-C

  • Physician Assistant
  • Shreveport, LA
  • NPI 1669184610
  NPD (past)
• Ryan Knoll, D.C.

  • Chiropractor
  • Alexandria, LA
  • NPI 1669929188
  NPD (past)
• Rachel Whitstine Lacroix

  • Family Nurse Practitioner
  • New Iberia, LA
  • NPI 1336793207
  NPD (past)
• Jency Broussard Nugier, PA-C

  • Physician Assistant
  • Lafayette, LA
  • NPI 1376274340

  Single Specialty

  NPD (past)
• Amy Weatherford, NP

  • Family Nurse Practitioner
  • Lafayette, LA
  • NPI 1184240608
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407961865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 13643",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "71315",
            "telephone_number": "318-487-6525",
            "fax_number": "318-487-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 EXPRESSWAY DRIVE",
            "address_2": "SUITE 100 B",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "71360",
            "telephone_number": "318-487-6525",
            "fax_number": "318-487-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA PHYSICAL THERAPY CENTERS OF PINEVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST OWNER",
        "authorized_official_telephone_number": "318-487-6525",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1475955",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1111619",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Louisiana Mind Body & Health LLC
• Louisiana Quick Care LLC
• Theresa H Louviere, MA, LDN,RD
• Angela Lovas, GSW
• Kara Elizabeth Love, LCSW
• Loving Care-Nurse Led Clinic, LLC

• Physical Therapist in Pineville, LA
• Providers in Pineville, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.