Individual provider Active NPI

Anthony Paul Lebas, P.T.

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1417925033
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02694 Issued in LA
Practice address
4400 Ambassador Caffery Pkwy
Box 578
Lafayette, LA 70508-6760
Phone
(337) 991-0102
Fax
(337) 991-0032
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 02694 LA Primary

Addresses

Primary practice location

4400 Ambassador Caffery Pkwy
Box 578
Lafayette, LA 70508-6760

Mailing address

701 Robley Dr
Suite 135
Lafayette, LA 70503-5200
Phone (337) 991-0102

Other identifiers 1

IdentifierTypeStateIssuer
02694OtherLAPHYSICAL THERAPY LICENSE

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

LicenseStateTypeSpecialty
02694LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiomed Partners, LLC Physical Therapist PastSince Apr 30, 2003 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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1417925033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ROBLEY DR",
            "address_2": "SUITE 135",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035200",
            "telephone_number": "337-991-0102",
            "fax_number": "337-991-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 AMBASSADOR CAFFERY PKWY",
            "address_2": "BOX 578",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086760",
            "telephone_number": "337-991-0102",
            "fax_number": "337-991-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBAS",
        "first_name": "ANTHONY",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "02694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "02694",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.