Phillip Thibodeaux, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

09125R Issued in LA

Practice address

2835 Verot School Rd Ste B
Lafayette, LA 70508-6411

Phone

(337) 446-7918

Fax

(337) 201-9031

NPI assigned

Jul 17, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Louisiana State University School of Medicine in Shreveport, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Restore Physical Therapy and Wellness LLC

  • Physical Therapy Clinic/Center
  • Lafayette, LA
  • NPI 1851288971

  LA, Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1558745786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 VEROT SCHOOL RD STE B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086411",
            "telephone_number": "337-446-7918",
            "fax_number": "337-201-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 VEROT SCHOOL RD STE B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086411",
            "telephone_number": "337-446-7918",
            "fax_number": "337-201-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAUX",
        "first_name": "PHILLIP",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-17",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09125R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Thibodeaux
• Kerry Thibodeaux, LPC
• Lindsay Thibodeaux
• Loren Christian Thibodeaux, AU.D.
• Merril Thibodeaux
• Tlajahawaun Thibodeaux
• Tracy Nicole Thibodeaux, MS, CF-SLP
• Tyianne Lawrence Thibodeaux
• Joshua Mark Thigpen, CRNA
• Katherine McCardell Thimmesch, DDS

• All providers in Lafayette, LA
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.