Chad Jimenez, PT, DPT
Individual provider Active NPI Physical Therapist · Scott, LA
NPI 1700170339 · NPPES record last updated Jun 25, 2020
Key facts
- NPI
- 1700170339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 08027 (LA)
- Practice address
- 6100 Cameron St
Scott, LA 70583-5144 - Phone
- (337) 345-5742
- Fax
- (337) 267-8084
- NPI assigned
- May 31, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Parish Physical Therapy, LLC
Practice addresses (Care Compare)
6100 Cameron St
Scott, LA 70583-5144
Phone (337) 345-5742
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111013000505 | LA | Practitioner - Physical Therapist in Private Practice | 9638341795 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08027 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MTS-LGH Therapy Services LLC | Physical Therapist | Past |
Accepting new patients |
| Lemoine Therapy Services of Cenla Inc | Physical Therapist | Past | Accepting new patients |
| Select Physical Therapy Holdings Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 08027 | LA | Yes |
Addresses
Primary practice location
6100 Cameron St
Scott, LA 70583-5144
Mailing address
6100 Cameron St
Scott, LA 70583-5144
Phone (337) 345-5742
Other providers in Scott, LA
- Intrathecal Compounding Specialists LLC
- J&J'S Caring Transportation, LLC
- Alaia Jackson
- Kortney Jacobsen
- Alonda Jenkins
- Carola Jolivette
- Bradley Michael Katt
- Taleithia N Keys
- Keystone Acquisitions, LLC
- Keystone Recovery, L.L.C.
All providers in Scott, LA · Physical Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.