Codi Boudreaux Waguespack, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

07954 Issued in LA

Practice address

508 N Acadia Rd
Thibodaux, LA 70301-4862

Phone

(985) 448-5888

Fax

(985) 448-0589

NPI assigned

Sep 28, 2010

Sex

Female

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

Enrolled in LA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Accelerated Rehab and Sports Medicine, LLC

  • Physical Therapy Clinic/Center
  • Vacherie, LA
  • NPI 1174870661

  LA, Physical Therapist

  Medicare reassignment NPD
• Advance Physcial Therapy and Rehabilitation

  • Physical Therapy Clinic/Center
  • Thibodaux, LA
  • NPI 1750502688

  LA

  Medicare reassignment NPD
• Genesis Physical Therapy and Wellness, LLC

  • Physical Therapist
  • Thibodaux, LA
  • NPI 1821553397
  NPD (past)

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1740599588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 N ACADIA RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014862",
            "telephone_number": "985-448-5888",
            "fax_number": "985-448-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N ACADIA RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014862",
            "telephone_number": "985-448-5888",
            "fax_number": "985-448-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGUESPACK",
        "first_name": "CODI",
        "middle_name": "BOUDREAUX",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Voisin
• Candice Voisin, RN
• Jay Anthony Voisin, CRNA
• Ashley Marcello Waguespack, M.S., L.O.T.R.
• Christina Waguespack, BA
• Lisa H. Waguespack, RPH
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Wal-Mart Stores Louisiana, LLC
• Walgreen Co

• All providers in Thibodaux, LA
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.