Agape Therapy LLC
Organization Active NPI Occupational Therapist · Broussard, LA
NPI 1760195283 · NPPES record last updated Dec 20, 2023
Key facts
- NPI
- 1760195283
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapist 225X00000X
- Legal business name
- AGAPE THERAPY LLC
- Practice address
- 705 S Morgan Ave Ste a
Broussard, LA 70518-4951 - Phone
- (337) 258-3683
- NPI assigned
- Dec 29, 2022
- Organization subpart
- No
Authorized official
- Name
- Anne Peltier
- Title
- Owner
- Phone
- (337) 252-7449
Practitioners 6
-
Anne Peltier, O.T.
-
Ariel Babineaux, PT
-
Karen Ann Bienvenu, PT, MPT
-
Marissa D Mouton, OT
-
Bethel Gilmore, PTA
-
Robin Harbourt, PHYSICAL THERAPIST
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230515000746 | LA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 7719343946 |
Receives reassigned benefits from 4 practitioners Practice locations: Broussard, LA |
| O20231115003826 | LA | DME Supplier - Independently-Practicing Occupational Therapist | 7719343946 | Practice locations: Broussard, LA |
National Provider Directory
Locations
705 S Morgan Ave
Ste A
Broussard, LA 70518
Phone (337) 252-7449
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | Yes | ||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
705 S Morgan Ave Ste a
Broussard, LA 70518-4951
Mailing address
705 S Morgan Ave Ste a
Broussard, LA 70518-4951
Other providers in Broussard, LA
- Acadiana Optics LLC
- Acadiana Party Bus and Trolley
- Samuel Aigbefoh
- Albertsons LLC
- Tony Alleman
- Jean-Marie Allen
- Alliance Healthcare
All providers in Broussard, LA · Occupational Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2023. 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.