NPIMap

Organization Active NPI

Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82

Doing business as Moreau Physical Therapy

  • Physical Therapist
  • Zachary, LA
National Provider Identifier
1659640373
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ALVIN C MOREAU JR LICENSED PHYSICAL THERAPIST DTD 01 15 82
Doing business as
Moreau Physical Therapy
Practice address
4845 Main St
Suite C
Zachary, LA 70791-3943
Phone
(225) 286-0181
Fax
(225) 286-0186
NPI assigned
Dec 27, 2011
Last updated
Nov 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Cristina M Faucheux, PTNPI 1710976717
Title
Vice President
Phone
(225) 654-8208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

4845 Main St
Suite C
Zachary, LA 70791-3943

Mailing address

4314 S Sherwood Forest Blvd Ste A150
Baton Rouge, LA 70816-4458
Phone (225) 654-8208

Other identifiers 1

IdentifierTypeStateIssuer
5C943OtherLAMEDICARE

Other names 1

  • Moreau Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Moreau Physical Therapy16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

4314 S Sherwood Forest Blvd
Ste A150
Baton Rouge, LA 70816
Phone (225) 275-3177

2335 Church St
Ste G
Zachary, LA 70791
Phone (225) 654-2802

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1659640373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 S SHERWOOD FOREST BLVD STE A150",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164458",
            "telephone_number": "225-654-8208",
            "fax_number": "225-465-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 MAIN ST",
            "address_2": "SUITE C",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707913943",
            "telephone_number": "225-286-0181",
            "fax_number": "225-286-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVIN C MOREAU JR LICENSED PHYSICAL THERAPIST DTD 01 15 82",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "FAUCHEUX",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "225-654-8208",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "5C943",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moreau Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moreau Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zachary, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.