Individual provider Active NPI

Jennifer Labiche Lemoine, PTA

  • Physical Therapy Assistant
  • Metairie, LA
National Provider Identifier
1447505201
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A7468 Issued in LA
Practice address
2901 Ridgelake Dr
Suite 107
Metairie, LA 70002-4966
Phone
(504) 309-0868
Fax
(504) 309-0867
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A7468 LA Primary

Addresses

Primary practice location

2901 Ridgelake Dr
Suite 107
Metairie, LA 70002-4966

Mailing address

2901 Ridgelake Dr
Suite 107
Metairie, LA 70002-4966
Phone (504) 309-0868

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

LicenseStateTypeSpecialty
A7468LAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Flex Rehabilitation & Consulting, LLC Past Accepting new patients
Southern Flex Rehabilitation and Consulting, LLC Physical Therapy Assistant PastSince Jan 1, 2017 Accepting new patients

Organizations & group practices 2

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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1447505201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 RIDGELAKE DR",
            "address_2": "SUITE 107",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024966",
            "telephone_number": "504-309-0868",
            "fax_number": "504-309-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 RIDGELAKE DR",
            "address_2": "SUITE 107",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024966",
            "telephone_number": "504-309-0868",
            "fax_number": "504-309-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMOINE",
        "first_name": "JENNIFER",
        "middle_name": "LABICHE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "LA",
            "license": "A7468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.