Individual provider Active NPI

Jillian H Manuel, P.T.

  • Physical Therapist
  • Eunice, LA
National Provider Identifier
1598810822
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LA04937 Issued in LA
Practice address
281 Moosa Boulevard
Eunice, LA 70535
Phone
(337) 550-7000
Fax
(337) 457-3535
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LA04937 LA Primary

Addresses

Primary practice location

281 Moosa Boulevard
Eunice, LA 70535

Mailing address

281 Moosa Boulevard
Eunice, LA 70535
Phone (337) 550-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110927000400 LA Practitioner - Physical Therapist in Private Practice 7719158542 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LA04937LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cora Manuel Therapy Services, LLC Physical Therapist CurrentSince Sep 1, 2019 Accepting new patients
Lemoine Therapy Services of Cenla Inc Physical Therapist CurrentSince Nov 13, 2018 Accepting new patients
Therapy Center of Jefferson Davis Parish, Inc Physical Therapist CurrentSince Nov 12, 2018 Accepting new patients
Rehab Xcel of Eunice LLC Physical Therapist CurrentSince Aug 31, 2020 Accepting new patients
Acadiana Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

204 E Saint Peter St
Carencro, LA 70520
Phone (337) 896-6685

441 Moosa Blvd
Eunice, LA 70535
Phone (337) 457-8164

2002 Johnson St
Ste 100
Jennings, LA 70546
Phone (337) 824-8287

1003 6th St
Mamou, LA 70554
Phone (337) 468-4685

7406 Highway 1
Ste 102
Mansura, LA 71350
Phone (318) 240-7680

Organizations & group practices 5

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598810822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 MOOSA BOULEVARD",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "70535",
            "telephone_number": "337-550-7000",
            "fax_number": "337-457-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 MOOSA BOULEVARD",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "70535",
            "telephone_number": "337-550-7000",
            "fax_number": "337-457-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "JILLIAN",
        "middle_name": "H",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "LA04937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eunice, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.