Individual provider Active NPI

Ian J Pecor, PT

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1639816606
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10914 Issued in LA
Practice address
2115 Dulles Dr
Lafayette, LA 70506-2652
Phone
(337) 981-9182
Fax
(337) 988-3441
NPI assigned
May 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10876 LA
Physical Therapist 225100000X 10914 LA Primary

Addresses

Primary practice location

2115 Dulles Dr
Lafayette, LA 70506-2652

Mailing address

PO Box 1410
Scott, LA 70583-1410
Phone (337) 703-3274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10914LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod-Trahan-Sheffield Physical Therapy Services, Inc. Physical Therapist CurrentSince May 2, 2022 Accepting new patients
MTS-LGH Therapy Services LLC Physical Therapist CurrentSince May 2, 2022 Accepting new patients

Locations

2115 Dulles Dr
Lafayette, LA 70506
Phone (337) 261-0507

Organizations & group practices 2

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": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1639816606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1410",
            "city": "SCOTT",
            "state": "LA",
            "postal_code": "705831410",
            "telephone_number": "337-703-3274",
            "fax_number": "337-703-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 DULLES DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705062652",
            "telephone_number": "337-981-9182",
            "fax_number": "337-988-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECOR",
        "first_name": "IAN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10876",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.