Albert Pickett, D.P.T.
Individual provider Active NPI Physical Therapist · Prairieville, LA
NPI 1497834253 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1497834253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05095 (LA)
- Practice address
- 17709 Old Jefferson Hwy Ste a
Prairieville, LA 70769-3977 - Phone
- (225) 677-8400
- Fax
- (225) 677-8484
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advantage Therapy Services, L.L.C.
Practice addresses (Care Compare)
17094 Airline Hwy
Prairieville, LA 70769-3400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040622001668 | LA | Practitioner - Physical Therapist in Private Practice | 8921083031 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Therapy Services, L.L.C. | Physical Therapist | Current |
Accepting new patients |
Locations
17709 Old Jefferson Hwy
Ste A
Prairieville, LA 70769
Phone (225) 677-8400
17316 Airline Hwy
Ste O
Prairieville, LA 70769
Phone (225) 673-9949
17094 Airline Hwy
Prairieville, LA 70769
Phone (225) 677-8400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05095 | LA | Yes |
Addresses
Primary practice location
17709 Old Jefferson Hwy Ste a
Prairieville, LA 70769-3977
Mailing address
17709 Old Jefferson Hwy Ste a
Prairieville, LA 70769-3977
Phone (225) 677-8400
Other practice location 1
17316 Airline Hwy
Suite O
Prairieville, LA 70769-3377
Phone (225) 677-8400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212607 | Other | LA | COVENTRY |
Other providers in Prairieville, LA
- Thomas Perkins
- Patricia Moncada Pertuit
- Megan Rose Petty
- PG Therapy LLC
- Caotuan Pham
- Melanie Pierre
- Aimee Pike
- Cori Planchard
- Angelle Marie Plauche
- Rene August Ponsaa III
All providers in Prairieville, 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 Mar 17, 2018. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.