Stephen Russell Habetz, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

04090 Issued in LA

Practice address

1307 Old Jeanerette Rd
New Iberia, LA 70563-5800

Phone

(337) 367-3331

Fax

(337) 367-6494

NPI assigned

Jul 23, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Iberia Sports and Rehabilitation, LLC.

  • Occupational Therapist
  • New Iberia, LA
  • NPI 1750330247

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1710142336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 OLD JEANERETTE RD",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705635800",
            "telephone_number": "337-367-3331",
            "fax_number": "337-367-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 OLD JEANERETTE RD",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705635800",
            "telephone_number": "337-367-3331",
            "fax_number": "337-367-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABETZ",
        "first_name": "STEPHEN",
        "middle_name": "RUSSELL",
        "name_prefix": "Prof.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "04090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Seth Guillotte, NP
• Gulf States Medical Supply LLC
• Paul Henry Gulotta Jr., M.D., A.P.M.C.
• Kimberly Guy, LCSW-BACS
• Jodie Gwin, MD
• Karly C Haik, CRNA
• Edward M Haile, MD
• Jennifer R Haines, NP-C
• James Darvin Hales, DO, FCCP, DABSM
• Johnetta Renee Hall, MEDICAL ASSISTANT

• Physical Therapist in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Physical Therapist in Louisiana

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