NPIMap

Organization Active NPI

Physical Therapy Clinic of Carencro LLC

  • Physical Therapist
  • Carencro, LA
National Provider Identifier
1669557906
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00312 Issued in LA
Legal business name
PHYSICAL THERAPY CLINIC OF CARENCRO LLC
Practice address
204 E Saint Peter St
Carencro, LA 70520-4009
Phone
(337) 896-6686
Fax
(337) 896-8891
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Margaret V Rozas, RPT
Title
Owner Physical Therapist
Phone
(337) 896-6686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 00312 LA Primary

Addresses

Primary practice location

204 E Saint Peter St
Carencro, LA 70520-4009

Mailing address

204 E Saint Peter St
Carencro, LA 70520-4009
Phone (337) 896-6686

Other names 1

  • PHYSICAL THERAPY CLINIC OF SUNSET Other name

National Provider Directory

National Provider Directory

Locations

204 E Saint Peter St
Carencro, LA 70520
Phone (337) 896-6685

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669557906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E SAINT PETER ST",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705204009",
            "telephone_number": "337-896-6686",
            "fax_number": "337-896-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E SAINT PETER ST",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705204009",
            "telephone_number": "337-896-6686",
            "fax_number": "337-896-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CLINIC OF CARENCRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROZAS",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER  PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "337-896-6686",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "00312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSICAL THERAPY CLINIC OF SUNSET",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carencro, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.