Organization Active NPI

Laterre Physical Therapy, Inc

Doing business as LaTerre Physical Therapy Clinic

  • Physical Therapist
  • Raceland, LA
National Provider Identifier
1609097823
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0303 Issued in LA
Legal business name
LATERRE PHYSICAL THERAPY, INC
Doing business as
LaTerre Physical Therapy Clinic
Practice address
116 Twin Oaks Dr
Raceland, LA 70394-2760
Phone
(985) 537-7012
NPI assigned
May 2, 2007
Last updated
Jan 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Donald P KinnardNPI 1790897478
Title
Owner
Phone
(985) 537-7012

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 0303 LA Primary

Addresses

Primary practice location

116 Twin Oaks Dr
Raceland, LA 70394-2760

Mailing address

116 Twin Oaks Dr
Raceland, LA 70394-2760
Phone (985) 537-7012

Other names 1

  • LaTerre Physical Therapy Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170719000640 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4284530528 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houma, LA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Laterre Physical Therapy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

901 Verret St
Houma, LA 70360
Phone (504) 868-3806

116 Twin Oaks Dr
Raceland, LA 70394
Phone (985) 537-7012

Practitioners & affiliated clinicians

Practitioners 3

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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1609097823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 TWIN OAKS DR",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942760",
            "telephone_number": "985-537-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 TWIN OAKS DR",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942760",
            "telephone_number": "985-537-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATERRE PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "KINNARD",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-537-7012"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "0303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaTerre Physical Therapy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raceland, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.