Calcasieu Therapy Group LLC
Organization Active NPI Physical Therapist · Moss Bluff, LA
NPI 1487085320 · NPPES record last updated Aug 17, 2023
Key facts
- NPI
- 1487085320
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- CALCASIEU THERAPY GROUP LLC
- Practice address
- 486 N Highway 171
Moss Bluff, LA 70611-5346 - Phone
- (337) 217-0997
- Fax
- (337) 217-0998
- NPI assigned
- Dec 3, 2013
- Organization subpart
- No
Authorized official
- Name
- Mr. Natalie Walker
- Title
- Coo
- Phone
- (337) 824-5488
Practitioners 33
-
Mark Mullett, OT
-
Daryl J Albro, MPT
-
Marilyn Arabie, LOTR
-
Roberta Boone, PT
-
Jessie M Broussard, LOTR
-
Casey Fitts, DPT
-
David M Frank, DPT
-
Jacob P Hebert, DPT
-
Tad Landry, DPT
-
Heather Hill Nichols, DPT
-
Raymond E Prince Jr., DPT
-
Ethan Rapp, DPT
-
Drew Patrick Soileau, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140407000525 | LA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 8325270358 |
Receives reassigned benefits from 26 practitioners Practice locations: Moss Bluff, LA |
National Provider Directory
Locations
217 Sam Houston Jones Pkwy
Moss Bluff, LA 70611
Phone (337) 217-0997
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | LA | Yes | |
| Occupational Therapist |
225X00000X | LA |
Addresses
Primary practice location
486 N Highway 171
Moss Bluff, LA 70611-5346
Mailing address
1322 Elton Rd
Ste I
Jennings, LA 70546-4100
Phone (337) 824-5488
Other providers in Moss Bluff, LA
- Anderson Brothers Transportation LLC
- Harold Anderson Jr.
- Lakin Danielle Blue
- Elisabeth Conley
- Kiana Duncan
- Sarah Elizabeth Duncan
- Eavy'S Medical Transportation
- Sanghoon Han
All providers in Moss Bluff, LA · Physical Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.