Therapy Center of Jefferson Davis Parish, Inc
Organization Active NPI Physical Therapist · Jennings, LA
NPI 1508971045 · NPPES record last updated Sep 3, 2009
Key facts
- NPI
- 1508971045
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- THERAPY CENTER OF JEFFERSON DAVIS PARISH, INC
- Practice address
- 2002 Johnson St
Suite 100
Jennings, LA 70546-3646 - Phone
- (337) 824-4547
- Fax
- (337) 824-4548
- NPI assigned
- Aug 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Elisha N Duhon
- Title
- Co-Office Manager
- Phone
- (337) 824-4547
Practitioners 134
-
Monica L Bass, PT
-
Katelyn M Bellelo, PT, DPT
-
Christopher P Berard, PT, DPT
-
Johnathan F Daigle, PT, DPT
-
Amy Miller Deloach, DPT
-
Jennifer H Doerle, PT, DPT
-
Aaron J Leblanc, PT, DPT
-
Claire Louise Manuel, PT,DPT
-
Scott A McBride, PT, DPT
-
Jefferey Jay Person, MPT
-
Anna M Petry, MOT, OTR / L
-
Margaret V Rozas, R.P.T.
-
Kassy Zerangue, PT, DPT
-
Peter B Torpy, PT
-
Robert Brian Benton, ROBERT BENTON,PT,DPT
-
Nicholas J Bertrand, PT, DPT
-
Sidney C Dartez, PT, DPT
-
Baxter Oliver Deal III, MPT, LOTR
-
Hannah Theriot Duplantis, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050120000627 | LA | Part B Supplier - Clinic/Group Practice | 0345207544 |
Receives reassigned benefits from 43 practitioners Practice locations: Carencro, LA; Lake Charles, LA; Lafayette, LA; Jennings, LA; Jeanerette, LA; Grand Coteau, LA |
National Provider Directory
Locations
101 S 2nd St
Eunice, LA 70535
Phone (337) 457-1556
1509 I49 N Service Rd
Grand Coteau, LA 70584
1401 Church St
Jeanerette, LA 70544
Phone (337) 276-2803
2002 Johnson St
Jennings, LA 70546
105 Patriot St
Ste 200
Lafayette, LA 70508
105 Patriot St
Ste 201
Lafayette, LA 70508
Phone (337) 345-1957
4451 Nelson Rd
Lake Charles, LA 70605
Phone (337) 480-0027
1509 I49 N Service Rd
Sunset, LA 70584
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant |
224Z00000X | LA | ||
| Physical Therapist |
225100000X | LA | Yes | |
| Physical Therapy Assistant |
225200000X | LA | ||
| Athletic Trainer |
2255A2300X | LA | ||
| Occupational Therapist |
225X00000X | LA | ||
| Speech-Language Pathologist |
235Z00000X | LA |
Addresses
Primary practice location
2002 Johnson St
Suite 100
Jennings, LA 70546-3646
Mailing address
2002 Johnson St
Suite 100
Jennings, LA 70546-3646
Phone (337) 824-4547
Other providers in Jennings, LA
- Synergy Home Care Acadiana Region Inc
- Brittany Bureau Talley
- Lashondra Taylor
- Stephania Ann Taylor
- Lindsay Blaire Tezeno
- Thibodeaux Transportation Services LLC.
- Thibodeaux, Albro & Touchet Therapy Group, Inc
- Thibodeaux, Albro & Touchet Therapy Group, LLC
- Christopher B Thibodeaux
- Laura Thompson
All providers in Jennings, 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 Sep 3, 2009. 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.