Quad C Physical Therapy LLC
Organization Active NPI Physical Therapy Clinic/Center · Leesville, LA
NPI 1740907310 · NPPES record last updated Oct 25, 2022
Key facts
- NPI
- 1740907310
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- QUAD C PHYSICAL THERAPY LLC
- Practice address
- 9058 Shreveport Hwy
Leesville, LA 71446-1812 - Phone
- (318) 256-0660
- Fax
- (318) 256-0661
- NPI assigned
- Oct 25, 2022
- Organization subpart
- No
Authorized official
- Name
- Kearstin Cooley, DPT
- Title
- Owner
- Phone
- (318) 256-0660
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 2
Practitioners 7
-
Carly Paige Roark, DPT
-
Kearstin Cooley, DPT
-
Allison Hair Odea, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150102001585 | LA | Part B Supplier - Clinic/Group Practice | 8325361066 |
Receives reassigned benefits from 7 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ville Platte, LA; Many, LA; Leesville, LA |
National Provider Directory
- Tax ID family
- Quad C Physical Therapy LLC
Locations
500 S 6th St
Ste A
Leesville, LA 71446
Phone (337) 239-8000
304 E Main St
Ville Platte, LA 70586
Phone (337) 466-4255
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
9058 Shreveport Hwy
Leesville, LA 71446-1812
Mailing address
PO Box 127
Many, LA 71449-0127
Phone (318) 256-0660
Other providers in Leesville, LA
- Cathy Price
- Katie Netherland Price
- Adelaide Primmer
- Professional Pediatrics, LLC
- Professional Pediatrics, LLC
- Quickcare MD LLC
- Gianella Estefania Quinones
- Michael Rader II
- Sukreet Raju
- Minerva Ramirez
All providers in Leesville, LA · Physical Therapy Clinic/Center in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.