Organization Active NPI

Iberia Sports and Rehabilitation, LLC.

  • Occupational Therapist
  • New Iberia, LA
National Provider Identifier
1750330247
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
IBERIA SPORTS AND REHABILITATION, LLC.
Practice address
1307 Old Jeanerette Rd
New Iberia, LA 70563-5800
Phone
(337) 367-3331
Fax
(337) 367-6494
NPI assigned
May 10, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Chad Martin Arceneaux
Title
Managing Member
Phone
(337) 367-3331

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

1307 Old Jeanerette Rd
New Iberia, LA 70563-5800

Mailing address

1307 Old Jeanerette Rd
New Iberia, LA 70563-5800
Phone (337) 367-3331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050809001075 LA Part B Supplier - Clinic/Group Practice 8628005626 Receives reassigned benefits from 5 practitioners
Practice locations: New Iberia, LA

National Provider Directory

National Provider Directory

Locations

1307 Old Jeanerette Rd
New Iberia, LA 70563
Phone (337) 229-4701

1307 Old Jeanerette Rd
Ste 102
New Iberia, LA 70563
Phone (337) 367-3331

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1750330247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 OLD JEANERETTE RD",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705635800",
            "telephone_number": "337-367-3331",
            "fax_number": "337-367-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 OLD JEANERETTE RD",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705635800",
            "telephone_number": "337-367-3331",
            "fax_number": "337-367-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBERIA SPORTS AND REHABILITATION, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ARCENEAUX",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "337-367-3331",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.