Individual provider Active NPI

Regina Roe McPhearson, D.P.T.

  • Physical Therapist
  • Coushatta, LA
National Provider Identifier
1528308798
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
07549R Issued in LA
Practice address
5024 Cut Off Rd Ste B
Coushatta, LA 71019-5116
Phone
(318) 932-7926
Fax
(318) 932-7946
NPI assigned
Feb 25, 2013
Last updated
Jul 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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 07549R LA Primary

Addresses

Primary practice location

5024 Cut Off Rd Ste B
Coushatta, LA 71019-5116

Mailing address

PO Box 558
Coushatta, LA 71019-0558
Phone (318) 932-7926

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130619000343 LA Practitioner - Physical Therapist in Private Practice 9234378415 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benton Physical Therapy, LLCGroup PAC ID 2769740737, 5 clinicians

Practice addresses (Care Compare)

235 Fairburn Ave
Benton, LA 71006-3418
Phone (318) 935-9075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07549RLAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benton Physical Therapy, LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

235 Fairburn Ave
Benton, LA 71006
Phone (318) 935-9075

Organizations & group practices 2

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": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1528308798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 558",
            "city": "COUSHATTA",
            "state": "LA",
            "postal_code": "710190558",
            "telephone_number": "318-932-7926",
            "fax_number": "318-932-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 CUT OFF RD STE B",
            "city": "COUSHATTA",
            "state": "LA",
            "postal_code": "710195116",
            "telephone_number": "318-932-7926",
            "fax_number": "318-932-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHEARSON",
        "first_name": "REGINA",
        "middle_name": "ROE",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07549R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coushatta, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.