NPIMap

Organization Active NPI

Magnolia Movement PT and Wellness

  • Physical Therapy Clinic/Center
  • Lafayette, LA
National Provider Identifier
1528638459
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MAGNOLIA MOVEMENT PT AND WELLNESS
Practice address
1025 Kaliste Saloom Rd Ste 100
Lafayette, LA 70508-4964
Phone
(337) 380-3607
NPI assigned
Jul 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Heather Lefort, PT, DPTNPI 1659825784
Title
Owner/Physical Therapist
Phone
(337) 380-3607

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1025 Kaliste Saloom Rd Ste 100
Lafayette, LA 70508-4964

Mailing address

710 La Rue de Lannie
New Iberia, LA 70560-7758

National Provider Directory

National Provider Directory

Locations

1025 Kaliste Saloom Rd
Ste 100
Lafayette, LA 70508
Phone (337) 235-7561

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1528638459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 LA RUE DE LANNIE",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705607758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 KALISTE SALOOM RD STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084964",
            "telephone_number": "337-380-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA MOVEMENT PT AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "LEFORT",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "337-380-3607",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.