Individual provider Active NPI

Reba Desonier, DPT

  • Physical Therapist
  • Lake Charles, LA
National Provider Identifier
1477094837
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
08060 Issued in LA
Practice address
1727 Imperial Blvd BLDG 3
Lake Charles, LA 70605-5362
Phone
(337) 478-5880
NPI assigned
Mar 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 08060 LA Primary

Addresses

Primary practice location

1727 Imperial Blvd BLDG 3
Lake Charles, LA 70605-5362

Mailing address

5843 Wrangler
Iowa, LA 70647-5237
Phone (337) 397-8220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170921001714 LA Practitioner - Physical Therapist in Private Practice 8729352281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Therapy Center, LLCGroup PAC ID 9931275377, 12 clinicians

Practice addresses (Care Compare)

1727 Imperial Blvd
BLDG 3
Lake Charles, LA 70605-5393
Phone (337) 478-5880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08060LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Therapy Center, LLC Physical Therapist CurrentSince Aug 9, 2017 Accepting new patients

Locations

1727 Imperial Blvd
Bldg 3
Lake Charles, LA 70605
Phone (337) 478-5800

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.

NPI Registry JSON

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477094837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5843 WRANGLER",
            "city": "IOWA",
            "state": "LA",
            "postal_code": "706475237",
            "telephone_number": "337-397-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 IMPERIAL BLVD BLDG 3",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055362",
            "telephone_number": "337-478-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESONIER",
        "first_name": "REBA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.