Organization Active NPI

Physical Therapy Plus of Vermilion, Inc.

  • Physical Therapist
  • Abbeville, LA
National Provider Identifier
1609982750
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LA00758 Issued in LA
Legal business name
PHYSICAL THERAPY PLUS OF VERMILION, INC.
Practice address
524 S Washington St
Abbeville, LA 70510-6630
Phone
(337) 893-0474
Fax
(337) 740-0474
NPI assigned
Aug 22, 2006
Last updated
Aug 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Mr. Duane A Lege, PTNPI 1932275039
Title
Owner Physical Therapist
Phone
(337) 893-0474

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 LA00758 LA Primary

Addresses

Primary practice location

524 S Washington St
Abbeville, LA 70510-6630

Mailing address

PO Box 1552
Abbeville, LA 70511
Phone (337) 893-0474

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050314000042 LA Part B Supplier - Clinic/Group Practice 1456306471 Receives reassigned benefits from 1 practitioner
Practice locations: Abbeville, LA

National Provider Directory

National Provider Directory

Locations

524 S Washington St
Abbeville, LA 70510
Phone (337) 893-0474

Practitioners & affiliated clinicians

Practitioners 1

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": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1609982750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1552",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "70511",
            "telephone_number": "337-893-0474",
            "fax_number": "337-740-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 S WASHINGTON ST",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705106630",
            "telephone_number": "337-893-0474",
            "fax_number": "337-740-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY PLUS OF VERMILION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "LEGE",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "337-893-0474",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "LA00758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.