Camille Denice Michelli

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

03576 Issued in LA

Practice address

37550 Provence Pointe Ave
Prairieville, LA 70769-4398

Phone

(225) 603-1643

NPI assigned

Oct 9, 2014

Last updated

Oct 9, 2014By the provider in NPPES

Sex

Female

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

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Synergy Care Southeast LLCGroup PAC ID 6204079163, 193 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Synergy Care Southeast LLC

  dba Synergy Care Southeast LLC - Louisiana

  • Physical Therapist
  • Lake Charles, LA
  • NPI 1891156055
  Medicare reassignment Care Compare group NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Tallulah, LA
  • NPI 1154852382
  Medicare reassignment NPD
• Synergy Care Southeast, LLC

  dba Synergy Care Southeast LLC - Texas

  • Physical Therapist
  • Lake Charles, LA
  • NPI 1427466614
  NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1598169211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37550 PROVENCE POINTE AVE",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37550 PROVENCE POINTE AVE",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694398",
            "telephone_number": "225-603-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELLI",
        "first_name": "CAMILLE",
        "middle_name": "DENICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "03576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Lou Mercil
• Metro United Transportation, LLC
• Haley Faith Meyer, RN, BSN, SRNA
• MG Wellness and Education, LLC (MG Wellness Clinic)
• Kendra Lashawn Michael, MD
• Jeremy John Matthew Miles Jr II
• Eriel Miles
• Tracie Mincks, MS, LPC-S, CCTP
• Monique Evette Minor
• Darris Mitchell

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.