Active NPI
Jeanie Dufrene, MPT
- Physical Therapist
- Luling, LA
National Provider Identifier
1447223292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 06701
- Practice address
- 12371 Highway 90
Suite D
Luling, LA 70070-5125 - Phone
- (985) 331-1001
- Fax
- (985) 331-1005
- NPI assigned
- Feb 10, 2006
- Last updated
- Aug 18, 2010
- 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 | 06701 | LA | Primary |
Addresses
Primary practice location
12371 Highway 90
Suite D
Luling, LA 70070-5125
Mailing address
12371 Highway 90
Suite D
Luling, LA 70070-5125
Phone (985) 331-1001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2113496 | Medicaid | LA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 06701 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282089600000",
"number": "1447223292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12371 HIGHWAY 90",
"address_2": "SUITE D",
"city": "LULING",
"state": "LA",
"postal_code": "700705125",
"telephone_number": "985-331-1001",
"fax_number": "985-331-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12371 HIGHWAY 90",
"address_2": "SUITE D",
"city": "LULING",
"state": "LA",
"postal_code": "700705125",
"telephone_number": "985-331-1001",
"fax_number": "985-331-1005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFRENE",
"first_name": "JEANIE",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-10",
"last_updated": "2010-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "06701",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2113496",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Luling, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.