Physical Therapy and Rehabilitation Center,LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1615 Issued in LA

Legal business name

PHYSICAL THERAPY AND REHABILITATION CENTER,LLC

Practice address

225 Corporate Dr
Houma, LA 70360-2769

Phone

(985) 876-7188

Fax

(985) 868-8654

NPI assigned

Jul 1, 2005

Last updated

May 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Monique Haydel Trahan, P.T.NPI 1902907603

Title

Owner

Phone

(985) 876-7188

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720085962. Details of each certification follow.

• CCN 196586 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 196586

Legal name

PHYSCIAL THERAPY REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Jul 29, 1994

Last certification

Mar 2, 2022

Ownership / control type

Proprietary

Facility address

225 Corporate Dr
Houma, LA 70360

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Monique Haydel Trahan, P.T.

  • Physical Therapist
  • Houma, LA
  • NPI 1902907603
  NPD Authorized official
• Abby-Gayle Harson Battaglia, PT, DPT

  • Physical Therapist
  • Houma, LA
  • NPI 1609567247
  NPD (past)
• Andrea Blum, MOT

  • Occupational Therapist
  • Houma, LA
  • NPI 1669007522
  NPD (past)
• Patricia Thomasson Cobb, P.T., N.C.S.

  • Physical Therapist
  • Houma, LA
  • NPI 1255415089
  NPD (past)
• John Paul Donohue Jr., P.T.

  • Physical Therapist
  • Houma, LA
  • NPI 1720189442
  NPD (past)
• Dana Badeaux Durkes, P.T.A.

  • Physical Therapy Assistant
  • Houma, LA
  • NPI 1700987450
  NPD (past)
• Bennie Falgout Lawrence, L.O.T.R.

  • Occupational Therapist
  • Houma, LA
  • NPI 1982705612
  NPD (past)

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1720085962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CORPORATE DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602769",
            "telephone_number": "985-876-7188",
            "fax_number": "985-868-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CORPORATE DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602769",
            "telephone_number": "985-876-7188",
            "fax_number": "985-868-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY AND REHABILITATION CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "TRAHAN",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "HAYDEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-876-7188",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "PT1615",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "PT166",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "LA",
            "license": "A3606",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "Z11353",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "4574",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1542563",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Houma, LA
• Providers in Houma, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.