Active NPI
Aaron Bergeron
- Physical Therapist
- Jennings, LA
National Provider Identifier
1750191219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12084
- Practice address
- 602 W Academy Ave
Jennings, LA 70546-5112 - Phone
- (337) 275-9270
- NPI assigned
- Jan 8, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12084 | LA | Primary |
Addresses
Primary practice location
602 W Academy Ave
Jennings, LA 70546-5112
Mailing address
602 W Academy Ave
Jennings, LA 70546-5112
Phone (337) 275-9270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12084 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Center of Jefferson Davis Parish, Inc | Physical Therapist | Current | Accepting new patients |
| Lemoine Therapy Services of Cenla Inc | Physical Therapist | Past | Accepting new patients |
Locations
2002 Johnson St
Ste 100
Jennings, LA 70546
Phone (337) 824-8287
Organizations & group practices 2
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
- Jennings, LA
- NPI 1508971045
-
- Physical Therapist
- Mansura, LA
- NPI 1336242767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1750191219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 W ACADEMY AVE",
"city": "JENNINGS",
"state": "LA",
"postal_code": "705465112",
"telephone_number": "337-275-9270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 W ACADEMY AVE",
"city": "JENNINGS",
"state": "LA",
"postal_code": "705465112",
"telephone_number": "337-275-9270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGERON",
"first_name": "AARON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-08",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "12084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jennings, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.