Active NPI
Charles Huston Oakes, DPT
- Physical Therapist
- Bogalusa, LA
National Provider Identifier
1417560285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10706
- Practice address
- 414 Avenue B
Bogalusa, LA 70427-3702 - Phone
- (985) 732-1651
- Fax
- (985) 241-5400
- NPI assigned
- Aug 31, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 10706 | LA | Primary |
Addresses
Primary practice location
414 Avenue B
Bogalusa, LA 70427-3702
Mailing address
414 Avenue B
Bogalusa, LA 70427-3702
Phone (985) 732-1651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200910003104 | LA | Practitioner - Physical Therapist in Private Practice | 9436577269 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10706 | LA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabcare Group East, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- NPI 1407382278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1417560285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 AVENUE B",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "704273702",
"telephone_number": "985-732-1651",
"fax_number": "985-241-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 AVENUE B",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "704273702",
"telephone_number": "985-732-1651",
"fax_number": "985-241-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OAKES",
"first_name": "CHARLES",
"middle_name": "HUSTON",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-31",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "10706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bogalusa, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.