Individual provider Active NPI

Eddie Himel Jr., P.T.

  • Physical Therapist
  • Thibodaux, LA
National Provider Identifier
1700859758
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00443 Issued in LA
Practice address
808 Bayou LN
Thibodaux, LA 70301-4906
Phone
(985) 447-3164
Fax
(985) 447-5196
NPI assigned
Feb 9, 2006
Last updated
Apr 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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 00443 LA Primary

Addresses

Primary practice location

808 Bayou LN
Thibodaux, LA 70301-4906

Mailing address

204 Abigail Dr
Thibodaux, LA 70301-6085
Phone (985) 446-0451

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050729000685 LA Practitioner - Physical Therapist in Private Practice 8628006780 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Daigle Himel Daigle Physical Therapy Center and Rehabilitation Inc Physical Therapist CurrentSince Mar 15, 2007 Accepting new patients
Daigle,Himel & Daigle PT Center Physical Therapist CurrentSince Mar 15, 2007 Accepting new patients

Locations

125 Bayou Gardens Blvd
Houma, LA 70364
Phone (985) 223-4760

1321 Grand Caillou Rd
Houma, LA 70363
Phone (504) 876-1155

808 Bayou Ln
Thibodaux, LA 70301
Phone (985) 447-3164

Organizations & group practices 2

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1700859758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 ABIGAIL DR",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703016085",
            "telephone_number": "985-446-0451",
            "fax_number": "985-447-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 BAYOU LN",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014906",
            "telephone_number": "985-447-3164",
            "fax_number": "985-447-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMEL",
        "first_name": "EDDIE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "00443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.