Individual provider Active NPI

Lane C Perilloux, DPT

  • Physical Therapist
  • Hammond, LA
National Provider Identifier
1689287237
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10683 Issued in LA
Practice address
2204 Robin Ave
Hammond, LA 70403-5751
Phone
(985) 542-7878
NPI assigned
Aug 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10683 LA Primary

Addresses

Primary practice location

2204 Robin Ave
Hammond, LA 70403-5751

Mailing address

2204 Robin Ave
Hammond, LA 70403-5751
Phone (985) 542-7878

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200915000005 LA Practitioner - Physical Therapist in Private Practice 1951729565 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuromedical CenterGroup PAC ID 6103716477, 114 clinicians
Affiliated Therapy Services LLCGroup PAC ID 5991155822, 4 clinicians

Practice addresses (Care Compare)

15420 S Harrells Ferry Rd
Suite D
Baton Rouge, LA 70816-2933
Phone (225) 751-9797

2204 Robin Ave
Hammond, LA 70403-5751
Phone (985) 542-7878

Merit-based Incentive Payment System (MIPS)

Final score
83.93 of 100Reported as group
Quality
71.55
Promoting interoperability
100
Improvement activities
40
Cost
74.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DPT Holdings PLLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Moreau Physical Therapy Inc. Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients
Neuromedical Center CurrentSince Jun 1, 2024 Accepting new patients
Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82 Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients

Locations

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

11424 Sullivan Rd
#A-C
Baton Rouge, LA 70818
Phone (225) 261-7021

4324 S Sherwood Forest Blvd
Ste 170
Baton Rouge, LA 70816

10101 Park Rowe Ave
Ste 200
Baton Rouge, LA 70810
Phone (225) 768-2164

4324 S Sherwood Frst
Ste B170
Baton Rouge, LA 70816

15420 S Harrells Ferry Rd
Ste D
Baton Rouge, LA 70816
Phone (225) 751-9797

2204 Robin Ave
Hammond, LA 70403
Phone (985) 542-7878

10161 Florida Blvd
Ste B
Walker, LA 70785
Phone (225) 271-8056

4845 Main St
#C
Zachary, LA 70791
Phone (225) 286-0181

Interoperability endpoints

  • Direct secure messaging: lane.perilloux.1@25776.direct.athenahealth.com

Organizations & group practices 5

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": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1689287237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 ROBIN AVE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035751",
            "telephone_number": "985-542-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 ROBIN AVE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035751",
            "telephone_number": "985-542-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERILLOUX",
        "first_name": "LANE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.