Active NPI
Sarah Kaitlenn Lacoste, PT
- Physical Therapist
- Marrero, LA
National Provider Identifier
1659966059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP015382T
- Practice address
- 1151 Barataria Blvd Ste 4300
Marrero, LA 70072-3084 - Phone
- (504) 340-6976
- Fax
- (504) 349-6786
- NPI assigned
- Mar 8, 2021
- Sex
- Female
- 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 | PT7057 | MS | |
| Physical Therapist | 225100000X | CP015382T | LA | Primary |
Addresses
Primary practice location
1151 Barataria Blvd Ste 4300
Marrero, LA 70072-3084
Mailing address
1151 Barataria Blvd Ste 4300
Marrero, LA 70072-3084
Phone (504) 340-6976
Other practice location 1
17000 Kapalama Rd Ste B
Pass Christian, MS 39571-9761
Phone (228) 255-6868
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 |
|---|---|---|---|
| CP015382T | LA | MD | Physical Therapist |
| PT7057 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Medicine LTD | Physical Therapist | Current | Accepting new patients |
Locations
17000 Kapalama Rd
#B
Pass Christian, MS 39571
Phone (228) 255-6868
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 and National Provider Directory roles.
-
- Physical Therapist
- Pass Christian, MS
- NPI 1184652737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1659966059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 BARATARIA BLVD STE 4300",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723084",
"telephone_number": "504-340-6976",
"fax_number": "504-349-6786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 BARATARIA BLVD STE 4300",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723084",
"telephone_number": "504-340-6976",
"fax_number": "504-349-6786"
}
],
"practiceLocations": [
{
"address_1": "17000 Kapalama Rd Ste B",
"address_purpose": "LOCATION",
"city": "Pass Christian",
"state": "MS",
"postal_code": "395719761",
"country_code": "US",
"telephone_number": "228-255-6868",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LACOSTE",
"first_name": "SARAH",
"middle_name": "KAITLENN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-08",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT7057",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "CP015382T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.