Active NPI
Clovis James Ozane Jr., PT
- Physical Therapist
- Bossier City, LA
National Provider Identifier
1487544854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 07265
- Practice address
- 4828 Medical Dr
Bossier City, LA 71112-4244 - Phone
- (318) 746-0470
- NPI assigned
- Jul 8, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 07265 | LA | Primary |
Addresses
Primary practice location
4828 Medical Dr
Bossier City, LA 71112-4244
Mailing address
212 Pomeroy Dr
Shreveport, LA 71115-2612
Phone (337) 304-3547
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Louisiana State University School of Medicine in Shreveport, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
901 Hugh Wallis Rd S
Lafayette, LA 70508-2511
PO Box
Lafayette, LA 70505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07265 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana Physical Therapy Services of Bossier City, LLC | Physical Therapist | Current | Accepting new patients |
| Minden Physician Practices LLC | Past | 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.
-
- Physical Therapist
- Bossier City, LA
- NPI 1275025488
-
- Multi-Specialty Clinic/Center
- Minden, LA
- NPI 1497986764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1487544854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 POMEROY DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711152612",
"telephone_number": "337-304-3547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4828 MEDICAL DR",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711124244",
"telephone_number": "318-746-0470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OZANE",
"first_name": "CLOVIS",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-08",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "07265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.