Emmanuel B Adeyanju, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

03062F Issued in LA

Practice address

204 E Saint Peter St
Carencro, LA 70520-4009

Phone

(337) 896-6686

Fax

(337) 565-6003

NPI assigned

Jun 8, 2017

Last updated

Jun 8, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Physical Therapy Clinic of Carencro LLC

  • Physical Therapist
  • Carencro, LA
  • NPI 1669557906
  NPD (past)

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1417486986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 JOHNSON ST STE 100",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463640",
            "telephone_number": "337-824-4547",
            "fax_number": "337-824-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E SAINT PETER ST",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705204009",
            "telephone_number": "337-896-6686",
            "fax_number": "337-565-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEYANJU",
        "first_name": "EMMANUEL",
        "middle_name": "B",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "03062F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Wise Solution, LLC.
• A&M Chiropractic Services LLC (Fontenot Chiropractic Spine & Injury)
• Alexis Broussard Abshire, PT
• Jean'-Paul Abshire, DC
• Acadiana Intraoperative Monitoring
• Adult Day Health Care of Carencro, Inc.
• Advance Transports of la.
• Lisa Boudreaux Alexander, FNP-C
• Brandi Nicole Alleman, FNP-C
• Alliance Escort, LLP (Alliance Escort)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.