Active NPI
Heather Lefort, PT, DPT
- Physical Therapist
- Lafayette, LA
National Provider Identifier
1659825784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10968R
- Practice address
- 1025 Kaliste Saloom Rd Ste 100
Lafayette, LA 70508-4964 - Phone
- (337) 492-3377
- NPI assigned
- Aug 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 1274956 | TX | |
| Physical Therapist | 225100000X | 10968R | LA | Primary |
Addresses
Primary practice location
1025 Kaliste Saloom Rd Ste 100
Lafayette, LA 70508-4964
Mailing address
710 La Rue de Lannie
New Iberia, LA 70560-7758
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Heather@magnoliamovementpt.com | Direct |
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 |
|---|---|---|---|
| 10968R | LA | MD | Physical Therapist |
| 1274956 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Movement PT and Wellness | Current | Accepting new patients | |
| Cardiovascular Institute of the South, LLC | Single Specialty | Past | Accepting new patients |
| Laborde Hand and Occupational Therapy Center | Past | Accepting new patients |
Locations
1025 Kaliste Saloom Rd
Ste 100
Lafayette, LA 70508
Phone (337) 235-7561
Organizations & group practices 3
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 1528638459
-
- Cardiovascular Disease Physician
- Houma, LA
- NPI 1982689113
Single Specialty
-
- Occupational Therapist
- Lafayette, LA
- NPI 1316275027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1659825784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 LA RUE DE LANNIE",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705607758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 KALISTE SALOOM RD STE 100",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705084964",
"telephone_number": "337-492-3377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFORT",
"first_name": "HEATHER",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-05",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1274956",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "LA",
"license": "10968R",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Heather@magnoliamovementpt.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1025 Kaliste Saloom Rd Ste 100",
"city": "Lafayette",
"state": "LA",
"country_code": "US",
"postal_code": "705084964",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.