Active NPI
Tina Ann Labatut, PT
- Physical Therapist
- Gonzales, LA
National Provider Identifier
1710288352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 01590
- Practice address
- 7183 Donaldson Dr
Gonzales, LA 70737-8132 - Phone
- (225) 644-0166
- Fax
- (225) 644-4459
- NPI assigned
- Nov 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 01590 | LA | Primary |
Addresses
Primary practice location
7183 Donaldson Dr
Gonzales, LA 70737-8132
Mailing address
7183 Donaldson Dr
Gonzales, LA 70737-8132
Phone (225) 644-0166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01590 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289606400000",
"number": "1710288352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7183 DONALDSON DR",
"city": "GONZALES",
"state": "LA",
"postal_code": "707378132",
"telephone_number": "225-644-0166",
"fax_number": "225-644-4459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7183 DONALDSON DR",
"city": "GONZALES",
"state": "LA",
"postal_code": "707378132",
"telephone_number": "225-644-0166",
"fax_number": "225-644-4459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABATUT",
"first_name": "TINA",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-13",
"last_updated": "2010-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "01590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.