Active NPI
John Edward Layne, DPT
- Physical Therapist
- Lafayette, LA
National Provider Identifier
1457357089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 07068R
- Practice address
- 101 La Rue France
Ste 300
Lafayette, LA 70508-3144 - Phone
- (337) 269-5929
- NPI assigned
- Jun 28, 2005
- Last updated
- Jun 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5567 | AZ | |
| Physical Therapist | 225100000X | 07068R | LA | Primary |
Addresses
Primary practice location
101 La Rue France
Ste 300
Lafayette, LA 70508-3144
Mailing address
101 La Rue France
Ste 500
Lafayette, LA 70508-3144
Phone (337) 269-9828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86059251885713A017 | Other | AZ | TRICARE |
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 |
|---|---|---|---|
| 07068R | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tucson Physical Therapy, PC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Tucson, AZ
- NPI 1407851322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214265600000",
"number": "1457357089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 LA RUE FRANCE",
"address_2": "STE 500",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083144",
"telephone_number": "337-269-9828",
"fax_number": "337-234-1075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 LA RUE FRANCE",
"address_2": "STE 300",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083144",
"telephone_number": "337-269-5929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAYNE",
"first_name": "JOHN",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2008-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "5567",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "07068R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "86059251885713A017",
"state": "AZ"
}
],
"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 Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.