Individual provider Active NPI

Leland Charles Couret Jr., P.T.

  • Physical Therapist
  • Metairie, LA
National Provider Identifier
1689651242
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
04415 Issued in LA
Practice address
3515 Hessmer Ave
Metairie, LA 70002-4730
Phone
(504) 885-8969
Fax
(504) 885-9190
NPI assigned
Dec 26, 2005
Last updated
Jan 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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 04415 LA Primary

Addresses

Primary practice location

3515 Hessmer Ave
Metairie, LA 70002-4730

Mailing address

3515 Hessmer Ave
Metairie, LA 70002-4730
Phone (504) 885-8969

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060918000275 LA Practitioner - Physical Therapist in Private Practice 2062417546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Southshore Physical Therapy, LLCGroup PAC ID 0345245825, 2 clinicians

Practice addresses (Care Compare)

3515 Hessmer Ave
Metairie, LA 70002-4730

3515 Hessmer Avene
Metairie, LA 70002-4730
Phone (504) 885-8969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southshore Physical Therapy, LLC Physical Therapist CurrentSince Feb 20, 2006 Accepting new patients

Locations

3000 Severn Ave
Ste 7
Metairie, LA 70002
Phone (504) 885-8969

3515 Hessmer Ave
Metairie, LA 70002
Phone (504) 885-8969

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1689651242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 HESSMER AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024730",
            "telephone_number": "504-885-8969",
            "fax_number": "504-885-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 HESSMER AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024730",
            "telephone_number": "504-885-8969",
            "fax_number": "504-885-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURET",
        "first_name": "LELAND",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-26",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "04415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.