Individual provider Active NPI

Jenna Dunne, PT, DPT

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1467295147
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10294 Issued in LA
Practice address
1700 Kaliste Saloom Road, BLDG 1, Ste.100B
Lafayette, LA 70508-6186
Phone
(337) 210-2098
Fax
(337) 223-2442
NPI assigned
Jun 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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 10294 LA Primary

Addresses

Primary practice location

1700 Kaliste Saloom Road, BLDG 1, Ste.100B
Lafayette, LA 70508-6186

Mailing address

PO Box 2846
Ruston, LA 71273-2846
Phone (318) 224-8994

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

LicenseStateTypeSpecialty
10294LAMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1467295147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2846",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712732846",
            "telephone_number": "318-224-8994",
            "fax_number": "318-224-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 KALISTE SALOOM ROAD, BLDG 1, STE.100B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086186",
            "telephone_number": "337-210-2098",
            "fax_number": "337-223-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNNE",
        "first_name": "JENNA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10294",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 18, 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.

Verify at the official NPI Registry.