Individual provider Active NPI

Kasey Moore Ware, P.T., DPT

  • Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1649609900
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
07595 Issued in LA
Practice address
5238 Dijon Dr
Baton Rouge, LA 70808-4311
Phone
(225) 906-4097
Fax
(225) 650-2357
NPI assigned
Nov 7, 2013
Last updated
Nov 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 07595 LA Primary

Addresses

Primary practice location

5238 Dijon Dr
Baton Rouge, LA 70808-4311

Mailing address

5238 Dijon Dr
Baton Rouge, LA 70808-4311
Phone (225) 906-4097

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221130003458 LA Practitioner - Physical Therapist in Private Practice 1557739240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bourgeois Physical Therapy and Sports Rehab LLCGroup PAC ID 8820314115, 8 clinicians

Practice addresses (Care Compare)

2733 W Outfitters Dr
Gonzales, LA 70737-5155
Phone (225) 255-4040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07595LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bourgeois Physical Therapy and Sports Rehab LLC Physical Therapist CurrentSince Aug 20, 2022 Accepting new patients

Locations

2733 W Outfitters Dr
Gonzales, LA 70737
Phone (225) 255-4040

17135 Ronald Rd
Prairieville, LA 70769
Phone (225) 744-4878

17135 Ronald Rd
Ste B
Prairieville, LA 70769

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1649609900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5238 DIJON DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084311",
            "telephone_number": "225-906-4097",
            "fax_number": "225-650-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5238 DIJON DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084311",
            "telephone_number": "225-906-4097",
            "fax_number": "225-650-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "KASEY",
        "middle_name": "MOORE",
        "name_prefix": "Mrs.",
        "credential": "P.T., DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.