Active NPI
Ian J Pecor, PT
- Physical Therapist
- Lafayette, LA
National Provider Identifier
1639816606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10914
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10914 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod-Trahan-Sheffield Physical Therapy Services, Inc. | Physical Therapist | Current | Accepting new patients |
| MTS-LGH Therapy Services LLC | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Lafayette, LA
- NPI 1245209436
Physical Therapist
-
- Physical Therapist
- Lafayette, LA
- NPI 1972024081
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.