Individual provider Active NPI

Patrick Hennessey, DPT

  • Orthopedic Physical Therapist
  • Luling, LA
National Provider Identifier
1740733070
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
09352 Issued in LA
Practice address
12807 Highway 90 Ste 101
Luling, LA 70070-2214
Phone
(985) 308-0078
Fax
(985) 308-0248
NPI assigned
Aug 3, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 09352 LA
Orthopedic Physical Therapist 2251X0800X 09352 LA Primary

Addresses

Primary practice location

12807 Highway 90 Ste 101
Luling, LA 70070-2214

Mailing address

12807 Highway 90 Ste 101
Luling, LA 70070-2214
Phone (985) 308-0078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161006000179 LA Practitioner - Physical Therapist in Private Practice 8729376892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cypress PT Charles LLCGroup PAC ID 7113373028, 5 clinicians

Practice addresses (Care Compare)

12807 Hwy 90
Suite 130a
Luling, LA 70070-2243
Phone (985) 308-0078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress PT Charles LLC Physical Therapist CurrentSince Apr 1, 2023 Accepting new patients
River Region Rehab, LLC Physical Therapist CurrentSince Jul 27, 2016 Accepting new patients
Babin Physical Therapy Services, Inc PastSince Mar 6, 2009 Accepting new patients

Locations

371 W Esplanade Ave
Kenner, LA 70065
Phone (504) 467-5520

12807 Highway 90
Ste 130A
Luling, LA 70070
Phone (985) 308-0078

12807 Highway 90
Ste 101
Luling, LA 70070
Phone (985) 308-0078

12371 Highway 90
Ste D
Luling, LA 70070
Phone (985) 331-1001

12807 Highway 90
Ste 103A
Luling, LA 70070
Phone (985) 308-0078

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1740733070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12807 HIGHWAY 90 STE 101",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700702214",
            "telephone_number": "985-308-0078",
            "fax_number": "985-308-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12807 HIGHWAY 90 STE 101",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700702214",
            "telephone_number": "985-308-0078",
            "fax_number": "985-308-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSEY",
        "first_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-03",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09352",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "09352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luling, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.