Individual provider Active NPI

Justin Simms Webb, DPT

  • Physical Therapist
  • Walker, LA
National Provider Identifier
1568034734
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10933 Issued in LA
Practice address
10161 Florida Blvd
Ste B
Walker, LA 70785-6049
Phone
(225) 271-8056
Fax
(225) 271-8057
NPI assigned
Jul 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 10933 LA Primary

Addresses

Primary practice location

10161 Florida Blvd
Ste B
Walker, LA 70785-6049

Mailing address

4324 S Sherwood Forest Blvd Ste B170
Baton Rouge, LA 70816-4481
Phone (225) 654-8208

Other practice location 1

11424 Sullivan Rd Ste A
Baton Rouge, LA 70818-3615
Phone (225) 261-7021

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210830001604 LA Practitioner - Physical Therapist in Private Practice 1355746322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moreau Physical Therapy Inc.Group PAC ID 3173419298, 81 clinicians

Practice addresses (Care Compare)

11424 Sullivan Rd
BLDG C
Baton Rouge, LA 70818-3615
Phone (225) 261-7021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10933LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Moreau Physical Therapy Inc. Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients
Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82 Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients
Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82 Physical Therapist Past Accepting new patients

Locations

9808 Bluebonnet Blvd
#201
Baton Rouge, LA 70810
Phone (225) 202-6124

4314 S Sherwood Forest Blvd
Ste A150
Baton Rouge, LA 70816
Phone (225) 275-3177

18303 Perkins Rd E
Ste 407
Baton Rouge, LA 70810
Phone (225) 751-8512

11424 Sullivan Rd
#A
Baton Rouge, LA 70818
Phone (225) 261-6645

4324 S Sherwood Frst
Ste B170
Baton Rouge, LA 70816

3129 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 246-2076

11424 Sullivan Rd
#A-C
Baton Rouge, LA 70818
Phone (225) 261-7021

3730 NE Evangeline Trwy
Ste D
Carencro, LA 70520
Phone (337) 469-3003

9930 Lake Forest Blvd
Ste A
New Orleans, LA 70127
Phone (504) 245-2483

2633 Napoleon Ave
Ste 615
New Orleans, LA 70115
Phone (504) 895-0638

4027 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 948-4212

59295 River West Dr
Ste G
Plaquemine, LA 70764
Phone (225) 238-2955

16309 Highway 190
Port Barre, LA 70577
Phone (337) 585-3780

17534 Old Jefferson Hwy
Ste A1
Prairieville, LA 70769
Phone (225) 673-4370

10161 Florida Blvd
Ste B
Walker, LA 70785
Phone (225) 271-8056

4845 Main St
#C
Zachary, LA 70791
Phone (225) 286-0181

1326 Church St
Zachary, LA 70791
Phone 2256548208 ext. 1160

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1568034734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 S SHERWOOD FOREST BLVD STE B170",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164481",
            "telephone_number": "225-654-8208",
            "fax_number": "225-465-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10161 FLORIDA BLVD",
            "address_2": "STE B",
            "city": "WALKER",
            "state": "LA",
            "postal_code": "707856049",
            "telephone_number": "225-271-8056",
            "fax_number": "225-271-8057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11424 Sullivan Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708183615",
            "country_code": "US",
            "telephone_number": "225-261-7021",
            "fax_number": "225-262-1826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBB",
        "first_name": "JUSTIN",
        "middle_name": "SIMMS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-15",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walker, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.