Elizabeth Leboeuf Sothern, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10600 Issued in LA

Practice address

120 White Rose Dr
Raceland, LA 70394-2644

Phone

(985) 532-9662

Fax

(985) 532-3942

NPI assigned

Mar 13, 2020

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

• Elizabeth Ann Leboeuf Other 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 New Orleans, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physiofit Physical Therapy, LLCGroup PAC ID 3274767702, 36 clinicians

The Recovery Room, LLCGroup PAC ID 4385182476, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physiofit Physical Therapy, LLC

  • Physical Therapist
  • Raceland, LA
  • NPI 1699111674
  Medicare reassignment Care Compare group NPD
• The Recovery Room, LLC

  • Physical Therapist
  • Thibodaux, LA
  • NPI 1578305843
  Medicare reassignment Care Compare group NPD
• Physiofit Physical Therapy, LLC

  • Physical Therapist
  • New Orleans, LA
  • NPI 1477050656
  NPD

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1740816404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WHITE ROSE DR",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942644",
            "telephone_number": "985-532-9662",
            "fax_number": "985-532-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTHERN",
        "first_name": "ELIZABETH",
        "middle_name": "LEBOEUF",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "LEBOEUF",
            "middle_name": "ANN",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Savoies Pharmacy
• Jarvis Gerard Shanklin, LCSW
• Valerie Frances Shields, R.N.
• Matthew Christopher Smith, PT, DPT
• Deanie J Soignier, MSW LCSW
• South Central la Human Services Authority (Lafourche Assessment Center)
• South Central la Human Services Authority (Lafourche Behavioral Health Center)
• St Anne ER Group, LLC
• St Anne General Hospital (Lafourche Parish Hospital Service District #2)
• St Anne Rehabilitaton Hospital, LLC (Gulf States LTAC of Houma - St. Anne Campus)

• Physical Therapist in Raceland, LA
• Providers in Raceland, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.