Gerald Delacruz

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

03639F Issued in LA

Practice address

8128 Florida Blvd
Denham Springs, LA 70726-7865

Phone

(225) 791-8644

NPI assigned

Nov 18, 2014

Last updated

Aug 19, 2019By the provider in NPPES

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

State licenses

Practice roles

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.

• Triton Healthcare

  • Skilled Nursing Facility
  • Denham Springs, LA
  • NPI 1821287848
  NPD (past)

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1730585787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 WORDSWORTH DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101986",
            "telephone_number": "225-288-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8128 FLORIDA BLVD",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707267865",
            "telephone_number": "225-791-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELACRUZ",
        "first_name": "GERALD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-18",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "LA",
            "license": "03639F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsey Marie Dean, RAC
• Stephanie Dean, N/A
• Dara Dedon, PHARM.D.
• Jenna Dees
• Trinyka Dehon
• Denham Comfort LLC
• Denham Springs Chiropractic
• Denham Springs Urgent Care LLC (Denham Springs Urgent Care)
• Helene Denis, N/A
• Carly McCoy Denton

• Geriatric Physical Therapist in Denham Springs, LA
• Providers in Denham Springs, LA by specialty
• Geriatric Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.