NPIMap

Organization Active NPI

Comprehensive Physical Therapy, LLC

  • Physical Therapist
  • Mandeville, LA
National Provider Identifier
1568081404
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COMPREHENSIVE PHYSICAL THERAPY, LLC
Practice address
5404 Highway 22 Ste 200
Mandeville, LA 70471-2518
Phone
(985) 272-1017
NPI assigned
Apr 10, 2020
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
William Beaudreau, PT, DPTNPI 1043540586
Title
Owner
Phone
(970) 214-0915

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 Therapist 225100000X NU Primary

Addresses

Primary practice location

5404 Highway 22 Ste 200
Mandeville, LA 70471-2518

Mailing address

103 Beau Chene Blvd
Mandeville, LA 70471-1787
Phone (985) 272-1017

Other practice location 1

6820 Veterans Blvd Ste A
Metairie, LA 70003-8408
Phone (504) 887-7463

Other practice location 2

103 Beau Chene Blvd
Mandeville, LA 70471-1787
Phone (985) 272-1017

Other practice location 3

621 Montgomery Ave
Metairie, LA 70003-4319
Phone (970) 214-0915

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200915002063 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8628496189 Receives reassigned benefits from 8 practitioners
Practice locations: Metairie, LA; Mandeville, LA

National Provider Directory

National Provider Directory

Locations

103 Beau Chene Blvd
Mandeville, LA 70471
Phone (985) 272-1017

5404 Highway 22
#200
Mandeville, LA 70471
Phone (504) 356-2551

6820 Veterans Memorial Blvd
Ste A
Metairie, LA 70003
Phone (504) 887-7463

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1568081404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BEAU CHENE BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704711787",
            "telephone_number": "985-272-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 HIGHWAY 22 STE 200",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704712518",
            "telephone_number": "985-272-1017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6820 Veterans Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700038408",
            "country_code": "US",
            "telephone_number": "504-887-7463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Beau Chene Blvd",
            "address_purpose": "LOCATION",
            "city": "Mandeville",
            "state": "LA",
            "postal_code": "704711787",
            "country_code": "US",
            "telephone_number": "985-272-1017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 Montgomery Ave",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700034319",
            "country_code": "US",
            "telephone_number": "970-214-0915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPREHENSIVE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-10",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "BEAUDREAU",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-214-0915",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.