Physical Therapy Clinic of Lafayette, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSICAL THERAPY CLINIC OF LAFAYETTE, INC.

Practice address

1432 S College Rd
Lafayette, LA 70503-2912

Phone

(337) 232-7080

Fax

(337) 237-2517

NPI assigned

Mar 24, 2006

Last updated

Jun 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kristine Anne Blackwell

Title

Office Manager

Phone

(337) 232-7080

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Physical Therapy Clinic of Lafayette, LLC

  • Physical Therapist
  • Lafayette, LA
  • NPI 1114471612
  NPPES parent name

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Afeman, PT

  • Physical Therapist
  • Youngsville, LA
  • NPI 1881220259
  Medicare reassignment Care Compare group NPD
• Christopher James Barras, P.T.

  • Physical Therapist
  • Lafayette, LA
  • NPI 1134182579
  Medicare reassignment Care Compare group NPD
• Taylor Paul Harrington, PT, DPT

  • Physical Therapist
  • Zachary, LA
  • NPI 1508413717
  Medicare reassignment Care Compare group NPD
• Dalton B Hebert, P.T.

  • Physical Therapist
  • Lafayette, LA
  • NPI 1902869365
  Medicare reassignment Care Compare group NPD
• Stephen P Kramer, P.T., ATC

  • Physical Therapist
  • Lafayette, LA
  • NPI 1598835803
  Medicare reassignment Care Compare group NPD
• Laura Frances Landry

  • Speech-Language Pathologist
  • Lafayette, LA
  • NPI 1003433004
  Medicare reassignment Care Compare group NPD
• Expadie Laperouse III, O.T.R., C.H.T.

  • Occupational Therapist
  • Lafayette, LA
  • NPI 1356304729
  Medicare reassignment Care Compare group NPD
• Jennifer Smith Laperouse, P.T.

  • Physical Therapist
  • Lafayette, LA
  • NPI 1942516018
  Medicare reassignment Care Compare group NPD
• Paige B Laperouse, LOTR

  • Occupational Therapist
  • Lafayette, LA
  • NPI 1285765032
  Medicare reassignment Care Compare group NPD
• Todd Jude Rodrigue, PT

  • Physical Therapist
  • Abbeville, LA
  • NPI 1861453755
  Medicare reassignment Care Compare group NPD
• John Michael Bienvenu

  • Physical Therapist
  • Gardendale, AL
  • NPI 1922148287

  LA

  Medicare reassignment Care Compare group NPD
• Matthew Hindelang, PT, DPT

  • Physical Therapist
  • Lafayette, LA
  • NPI 1841882578
  Medicare reassignment NPD

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1538129408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 S COLLEGE RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032912",
            "telephone_number": "337-232-7080",
            "fax_number": "337-237-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 S COLLEGE RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032912",
            "telephone_number": "337-232-7080",
            "fax_number": "337-237-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CLINIC OF LAFAYETTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-232-7080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rusty Lane Phillips, LCSW
• Phoebe N Glorias Counseling LLC
• Phoenix Provider Services LLC
• Physical Medicine Center
• Physical Therapy Advantage
• Physical Therapy Clinic of Lafayette, LLC
• Physical Therapy South, Inc
• Physical Therapy Works, Inc.
• Physician Management Services of Louisiana II, LLC
• Physicians in Medical Practice

• Physical Therapist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.