Active NPI
Theresa Tremblay, DPT
- Physical Therapist
- Jefferson, LA
National Provider Identifier
1437988714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11848
- Practice address
- 2614 Jefferson Hwy
Jefferson, LA 70121-3828 - Phone
- (504) 464-8590
- NPI assigned
- Jul 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 11848 | LA | Primary |
Addresses
Primary practice location
2614 Jefferson Hwy
Jefferson, LA 70121-3828
Mailing address
624 Percy Brown Rd Apt 824
Thibodaux, LA 70301-6772
Phone (978) 257-1153
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11848 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthoptic's Inc. | Physical Therapist | 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.
-
dba Orthoptic Rehab Clinic Of Metaine
- Physical Therapist
- Metairie, LA
- NPI 1306842257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1437988714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 PERCY BROWN RD APT 824",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703016772",
"telephone_number": "978-257-1153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2614 JEFFERSON HWY",
"city": "JEFFERSON",
"state": "LA",
"postal_code": "701213828",
"telephone_number": "504-464-8590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREMBLAY",
"first_name": "THERESA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-26",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "11848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jefferson, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.