Sophia Leblanc, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

08866 Issued in LA

Practice address

1219 Church St
Zachary, LA 70791-2347

Phone

(225) 658-7751

Fax

(225) 658-7753

NPI assigned

Aug 13, 2014

Last updated

Aug 13, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Sophia Jeiwei Elliott Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kleinpeter Physical Therapy, LLC

  • Physical Therapist
  • Zachary, LA
  • NPI 1689620213
  NPD (past)

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1497154645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 CHURCH ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912347",
            "telephone_number": "225-658-7751",
            "fax_number": "225-658-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 CHURCH ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912347",
            "telephone_number": "225-658-7751",
            "fax_number": "225-658-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "SOPHIA",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "ELLIOTT",
            "middle_name": "JEIWEI",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laurie H. Harrington, M.D,, LLC
• Amanda Riddell Lea, D.O.
• Sharon Leake, L.M.T.
• Jessica Leblanc, MD
• Kyle Leblanc, PT
• Ambrea Lee, FNP
• Nikki Lee, R.PH.
• Alysha Nicole Lewis
• Lydia Dee Lewis, MD
• Mikeyaunna Tashon Lewis

• Physical Therapist in Zachary, LA
• Providers in Zachary, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.