Individual provider Active NPI

Amanda Choates, MS CCC-SLP

  • Speech-Language Pathologist
  • Lake Charles, LA
National Provider Identifier
1669245387
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9144 Issued in LA
Practice address
4750 Lake St
Lake Charles, LA 70605-6008
Phone
(337) 477-7883
NPI assigned
Nov 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 9144 LA Primary

Addresses

Primary practice location

4750 Lake St
Lake Charles, LA 70605-6008

Mailing address

4750 Lake St
Lake Charles, LA 70605-6008
Phone (337) 477-7883

Other practice location 1

1618 Mill St
Lake Charles, LA 70601-3351
Phone (337) 217-4300 ext. 3651

Other practice location 2

1037 Belle Ave
Lake Charles, LA 70611-4216
Phone (337) 884-5854

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251024000652 LA Practitioner - Qualified Speech Language Pathologist 3274021811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners in Physical TherapyGroup PAC ID 3274543293, 9 clinicians

Practice addresses (Care Compare)

3501 5TH Ave
Suite C2
Lake Charles, LA 70607-2155
Phone (337) 439-3344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
9144LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Physical Therapy Speech-Language Pathologist CurrentSince Oct 7, 2025 Accepting new patients

Locations

3501 5th Ave
Ste C2
Lake Charles, LA 70607
Phone (337) 439-3344

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.

NPI Registry JSON

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1669245387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 LAKE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706056008",
            "telephone_number": "337-477-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 LAKE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706056008",
            "telephone_number": "337-477-7883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1618 Mill St",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706013351",
            "country_code": "US",
            "telephone_number": "337-217-4300 x3651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1037 Belle Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706114216",
            "country_code": "US",
            "telephone_number": "337-884-5854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOATES",
        "first_name": "AMANDA",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-03",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "9144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.