Active NPI
Patrick Hennessey, DPT
- Orthopedic Physical Therapist
- Luling, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 09352
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cypress PT Charles LLC | Physical Therapist | Current | Accepting new patients |
| River Region Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| Babin Physical Therapy Services, Inc | Past | 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.
-
- Physical Therapist
- Luling, LA
- NPI 1578264552
-
- Physical Therapist
- Luling, LA
- NPI 1407829252
-
- Physical Therapy Clinic/Center
- Kenner, LA
- NPI 1578702262
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.