Justin Charles Roy, E.T.,

Primary specialty

Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X

License

786746 Issued in LA

Practice address

2425 W Congress St
Lafayette, LA 70506-5548

Phone

(337) 371-9312

NPI assigned

May 18, 2016

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Prime Exercise Therapy LLC

  • Exclusive Provider Organization
  • Lafayette, LA
  • NPI 1619324886
  NPD (past) Authorized official

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1639526809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 W CONGRESS ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705065548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 W CONGRESS ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705065548",
            "telephone_number": "337-371-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "JUSTIN",
        "middle_name": "CHARLES",
        "credential": "E.T.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "LA",
            "license": "786746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis H Roy, DDS
• Daphne Roy, PHARMD
• Diana Fontenot Roy, CRNA
• Faith Choate Roy, M.S. CCC-SLP
• John R Roy, ATC
• Lindsey Briley Roy, CF-SLP
• Rebecca Roy, MSN, RN
• Sudipta Roy, MD
• Tonya Roy
• Wesley Roy Jr.

• Respiratory/Developmental/Rehabilitative Specialist/Technologist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Respiratory/Developmental/Rehabilitative Specialist/Technologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.