Pediatric Therapy of Louisiana

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PEDIATRIC THERAPY OF LOUISIANA

Practice address

4106 Maid Stone Dr
Lake Charles, LA 70605-4030

Phone

(337) 540-1861

NPI assigned

Jul 3, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Alisa Trahan, M.A., CCC-SLP

Title

Owner

Phone

(337) 540-1861

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alisa Burklow, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Lake Charles, LA
  • NPI 1639481211
  NPD (past)

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1629332721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 MAID STONE DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054030",
            "telephone_number": "337-540-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 MAID STONE DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054030",
            "telephone_number": "337-540-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY OF LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "TRAHAN",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-540-1861",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larisa Liles Pearce, LDN RD
• Todd Allen Peavy, MD
• Shreyas Venkat Peddigari, MD
• Alana Christine Peden, LPN
• Pediatric Cardiology of Southwest Louisiana, LLC
• Pediatrust Lake Charles, LLC
• Colton Don Peebles, B.C.B.A., L.B.A.
• Levince Oliver Peeples, LPN
• Claire Theresa Pellerin, L.P.C., L.M.F.T.
• Roxanne Peltier

• Speech-Language Pathologist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.