David Michael Hebert, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A7308 Issued in LA

Practice address

19089 Florida Blvd
Albany, LA 70711-3603

Phone

(225) 209-7140

Fax

(225) 567-6847

NPI assigned

Jun 1, 2017

Last updated

Jan 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• 360 Therapy, LLC

  dba 360 Therapy

  • Physical Therapy Clinic/Center
  • Albany, LA
  • NPI 1992199657
  NPD

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1750819900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1536",
            "city": "ALBANY",
            "state": "LA",
            "postal_code": "707111536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19089 FLORIDA BLVD",
            "city": "ALBANY",
            "state": "LA",
            "postal_code": "707113603",
            "telephone_number": "225-209-7140",
            "fax_number": "225-567-6847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54033 Highway 1062 Ste B",
            "address_purpose": "LOCATION",
            "city": "Loranger",
            "state": "LA",
            "postal_code": "704463538",
            "country_code": "US",
            "telephone_number": "225-209-7140",
            "fax_number": "225-567-6847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-01",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "LA",
            "license": "A7308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Lynn Grant, LPC
• Jeffrey Scott Graves
• Kassandra Guidry, M.S., PL-SLP, CF-SLP
• David Gutekunst
• Abby Claire Harper, M.A., PL-SLP, CF-SLP
• Jacquelynn Hebert, PTA
• Kaitlin Loupe Hebert, PHARMD
• Johns Pharmacy in Albany LLC (John's Pharmacy)
• Johns Pharmacy in Albany LLC (John's Pharmacy)
• Desmond Knighton

• Physical Therapy Assistant in Albany, LA
• Providers in Albany, LA by specialty
• Physical Therapy Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.