Jenna Grace Rabalais, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

08571 Issued in LA

Practice address

4038 Pontchartrain Dr
Slidell, LA 70458-5136

Phone

(985) 643-2300

Fax

(985) 643-2307

NPI assigned

Jun 3, 2013

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

Other names 1

• Jenna Carbajal Former name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Louisiana State University School of Medicine in Shreveport, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paradigm Health SystemGroup PAC ID 7012162464, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenna.rabalais.1@3401.direct.athenahealth.com

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.

• Paradigm Health System

  • Orthopaedic Surgery of the Spine Physician
  • Lacombe, LA
  • NPI 1780929604
  Medicare reassignment Care Compare group NPD
• Physiofit Louisiana LLC

  • Physical Therapist
  • Slidell, LA
  • NPI 1376180620
  Medicare reassignment NPD
• Superior Rehabilitation Services, LLC

  dba Action Physical Therapy & Sports Medicine

  • Physical Therapy Clinic/Center
  • Slidell, LA
  • NPI 1427084920
  Medicare reassignment NPD
• BBV, LLC

  dba WellnessWorks of CrossGates

  • Physical Therapist
  • Slidell, LA
  • NPI 1174607808
  NPD (past)
• Paradigm Health System

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Lacombe, LA
  • NPI 1043634454
  NPD (past)

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1740627504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-8923",
            "fax_number": "423-954-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4038 PONTCHARTRAIN DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585136",
            "telephone_number": "985-643-2300",
            "fax_number": "985-643-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABALAIS",
        "first_name": "JENNA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "CARBAJAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richelle Pultz
• Purple Hearts Health Care LLC
• Yushequa Quinn
• Alicia Richard Quirk
• Britta Rabalais
• Savannah Rachel, APRN, FNP-C
• Angie M Ragas, MD
• Minhazur Rahman, MD
• Sanjay Raina, M.D.
• Marc Alexander Raj, DO

• Physical Therapist in Slidell, LA
• Providers in Slidell, 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 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.