Individual provider Active NPI

Christopher B Thibodeaux, PT

  • Physical Therapist
  • Jennings, LA
National Provider Identifier
1437185246
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT01020 Issued in LA
Practice address
1322 Elton Rd
Suite I
Jennings, LA 70546-4138
Phone
(337) 824-5488
Fax
(337) 824-5494
NPI assigned
Jun 23, 2006
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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 PT01020 LA Primary

Addresses

Primary practice location

1322 Elton Rd
Suite I
Jennings, LA 70546-4138

Mailing address

1322 Elton Rd
Suite I
Jennings, LA 70546-4138
Phone (337) 824-5488

Other names 1

  • Chris B Thibodeaux Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070420000131 LA Practitioner - Physical Therapist in Private Practice 8022926880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thibodeaux Albro and Touchet Therapy Group LLCGroup PAC ID 7719081801, 8 clinicians

Practice addresses (Care Compare)

1322 Elton Rd
Suite 1
Jennings, LA 70546-4100
Phone (337) 824-5488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thibodeaux, Albro & Touchet Therapy Group, LLC Physical Therapist CurrentSince Jan 1, 2007 Accepting new patients
Kinder Therapy Group, LLC Physical Therapist CurrentSince Sep 25, 2023 Accepting new patients
Lake Charles Sports & Rehab Physical Therapist PastSince May 1, 2021 Accepting new patients
Calcasieu Therapy Group LLC Physical Therapist PastSince May 23, 2022 Accepting new patients
Xcel Therapy Solutions, LLC Physical Therapist Past Accepting new patients
Thibodeaux, Albro & Touchet Therapy Group, Inc Physical Therapist Past Accepting new patients
Southwest Louisiana Sports and Rehabilitation Center, LLC Physical Therapist PastSince Dec 28, 2010 Accepting new patients
Eureka Springs Hospital PastSince Oct 11, 2004 Accepting new patients

Locations

1113 E Northern Ave
Crowley, LA 70526
Phone (337) 783-5577

1322 Elton Rd
Ste 1
Jennings, LA 70546

1322 Elton Rd
Ste I
Jennings, LA 70546
Phone (337) 616-8099

715 1st Ave
Ste A
Kinder, LA 70648
Phone (337) 738-9491

Organizations & group practices 8

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1437185246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 ELTON RD",
            "address_2": "SUITE I",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464138",
            "telephone_number": "337-824-5488",
            "fax_number": "337-824-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 ELTON RD",
            "address_2": "SUITE I",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464138",
            "telephone_number": "337-824-5488",
            "fax_number": "337-824-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAUX",
        "first_name": "CHRISTOPHER",
        "middle_name": "B",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "PT01020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "THIBODEAUX",
            "middle_name": "B",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jennings, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.