Organization Active NPI

The Physical Medicine Center, Inc.

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1679589915
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THE PHYSICAL MEDICINE CENTER, INC.
Practice address
401 N College Rd
Ste. #3 & 4
Lafayette, LA 70506-4263
Phone
(337) 233-5230
Fax
(337) 233-5270
NPI assigned
Jul 31, 2006
Last updated
May 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
Mr. Kim A Thibodeaux
Title
Administrator
Phone
(337) 233-5230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

401 N College Rd
Ste. #3 & 4
Lafayette, LA 70506-4263

Mailing address

PO Box 62674
Lafayette, LA 70596-2674
Phone (337) 233-5230

National Provider Directory

National Provider Directory

Locations

401 N College Rd
Ste 3
Lafayette, LA 70506
Phone (337) 233-5025

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1679589915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62674",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705962674",
            "telephone_number": "337-233-5230",
            "fax_number": "337-233-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N COLLEGE RD",
            "address_2": "STE. #3 & 4",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064263",
            "telephone_number": "337-233-5230",
            "fax_number": "337-233-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHYSICAL MEDICINE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "THIBODEAUX",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "337-233-5230",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 28, 2008; 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.