Individual provider Active NPI

Philip Renoux, P.T.

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1659422913
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00703 Issued in LA
Practice address
101 La Rue France Ste 300
Lafayette, LA 70508-3138
Phone
(337) 269-5929
Fax
(337) 269-5921
NPI assigned
Jan 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 00703 LA Primary

Addresses

Primary practice location

101 La Rue France Ste 300
Lafayette, LA 70508-3138

Mailing address

101 La Rue France Ste 500
Lafayette, LA 70508-3144
Phone (337) 269-9828

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170314000442 LA Practitioner - Physical Therapist in Private Practice 9436434453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laborde Therapy Center LLCGroup PAC ID 2668469545, 13 clinicians

Practice addresses (Care Compare)

2727 Kaliste Saloom Rd
Suite 101
Lafayette, LA 70508-7164
Phone (337) 981-4053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
703LAMDMarriage & Family Therapist
00703LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Laborde Therapy Center LLC Physical Therapist CurrentSince Mar 1, 2017 Accepting new patients
Laborde Hand and Occupational Therapy Center PastSince Mar 1, 2017 Accepting new patients

Locations

3500 NE Evangeline Trwy
Ste A
Carencro, LA 70520
Phone (337) 981-4053

2727 Kaliste Saloom Rd
Ste 101
Lafayette, LA 70508
Phone (337) 981-4053

1231 David Dr
Morgan City, LA 70380
Phone (985) 385-3222

106 Oceans Blvd
Youngsville, LA 70592
Phone (337) 451-2468

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, 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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659422913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LA RUE FRANCE STE 500",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083144",
            "telephone_number": "337-269-9828",
            "fax_number": "337-234-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LA RUE FRANCE STE 300",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083138",
            "telephone_number": "337-269-5929",
            "fax_number": "337-269-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENOUX",
        "first_name": "PHILIP",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "00703",
            "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 Jul 8, 2007; 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.