Individual provider Active NPI

Andrew B Poche', P.T.

  • Physical Therapist
  • Ville Platte, LA
National Provider Identifier
1508936899
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01879 Issued in LA
Practice address
1477 W Lasalle St
Ville Platte, LA 70586-2974
Phone
(337) 363-2600
Fax
(337) 363-2599
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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 01879 LA Primary

Addresses

Primary practice location

1477 W Lasalle St
Ville Platte, LA 70586-2974

Mailing address

1477 W Lasalle St
Ville Platte, LA 70586-2974
Phone (337) 363-2600

Other identifiers 1

IdentifierTypeStateIssuer
1153681MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041005000680 LA Practitioner - Physical Therapist in Private Practice 7719946805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthwork Rehab, LLCGroup PAC ID 6709857758, 3 clinicians

Practice addresses (Care Compare)

1477 W Lasalle St
Ville Platte, LA 70586-2974
Phone (337) 363-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthwork Rehab, LLC Physical Therapist CurrentSince Dec 1, 2001 Accepting new patients

Locations

1477 W Lasalle St
Ville Platte, LA 70586
Phone (337) 363-2600

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234483200000",
    "number": "1508936899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 W LASALLE ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705862974",
            "telephone_number": "337-363-2600",
            "fax_number": "337-363-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 W LASALLE ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705862974",
            "telephone_number": "337-363-2600",
            "fax_number": "337-363-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POCHE'",
        "first_name": "ANDREW",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2009-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "01879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1153681",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ville Platte, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.