Individual provider Active NPI

Douglas Alan Elter, P.T.

  • Physical Therapist
  • Lake Charles, LA
National Provider Identifier
1528116837
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT01207 Issued in LA
Practice address
208 W McNeese St
Lake Charles, LA 70605-5638
Phone
(337) 824-5488
Fax
(337) 824-5494
NPI assigned
Jan 5, 2007
Last updated
Apr 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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 PT01207 LA Primary

Addresses

Primary practice location

208 W McNeese St
Lake Charles, LA 70605-5638

Mailing address

1322 Elton Rd
Suite I
Jennings, LA 70546-4138
Phone (337) 824-5488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT01207LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thibodeaux, Albro & Touchet Therapy Group, LLC Physical Therapist CurrentSince Jan 1, 2017 Accepting new patients
Lemoine Therapy Services of Cenla Inc Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Calcasieu Therapy Group LLC Physical Therapist CurrentSince Jan 1, 2017 Accepting new patients
Therapy Center of Jefferson Davis Parish, Inc Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Iowa Therapy Group LLC Physical Therapist CurrentSince Jan 1, 2017 Accepting new patients
Southwest Louisiana Sports and Rehabilitation Center, LLC Physical Therapist CurrentSince Jan 1, 2017 Accepting new patients

Locations

4501 Jackson St
Ste D
Alexandria, LA 71303
Phone (318) 704-0710

605 N Thomson Ave
Iowa, LA 70647
Phone (337) 582-4242

1322 Elton Rd
Ste 1
Jennings, LA 70546

1322 Elton Rd
Ste I
Jennings, LA 70546
Phone (337) 616-8099

2002 Johnson St
Ste 100
Jennings, LA 70546

208 W McNeese St
Lake Charles, LA 70605
Phone (337) 475-1053

4451 Nelson Rd
Lake Charles, LA 70605
Phone (337) 480-0027

7406 Highway 1
Ste 102
Mansura, LA 71350
Phone (318) 240-7680

486 N Highway 171
Moss Bluff, LA 70611
Phone (337) 217-0997

900 Cypress St
Sulphur, LA 70663
Phone (337) 528-2828

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1528116837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 ELTON RD",
            "address_2": "SUITE I",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464138",
            "telephone_number": "337-824-5488",
            "fax_number": "337-824-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055638",
            "telephone_number": "337-824-5488",
            "fax_number": "337-824-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTER",
        "first_name": "DOUGLAS",
        "middle_name": "ALAN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "PT01207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.