Active NPI
Elisa Raborn, P.T.
- Physical Therapist
- Abbeville, LA
National Provider Identifier
1740369933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00552
- Practice address
- 220 S Jefferson St
Abbeville, LA 70510-5906 - Phone
- (337) 893-2899
- NPI assigned
- Nov 6, 2006
- 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 | PT00552 | LA | Primary |
Addresses
Primary practice location
220 S Jefferson St
Abbeville, LA 70510-5906
Mailing address
509 Kensington Dr
Lafayette, LA 70508-7125
Phone (333) 727-8033
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 |
|---|---|---|---|
| PT00552 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew Mack Abraham, LLC | Past | Accepting new patients | |
| Bravo Therapy Services, Inc. | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Sleep Medicine (Internal Medicine) Physician
- Lafayette, LA
- NPI 1548314495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740369933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 KENSINGTON DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705087125",
"telephone_number": "333-727-8033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 S JEFFERSON ST",
"city": "ABBEVILLE",
"state": "LA",
"postal_code": "705105906",
"telephone_number": "337-893-2899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABORN",
"first_name": "ELISA",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "PT00552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abbeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.