Individual provider Active NPI

Alix A Sorrel, P.T.

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1770729162
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT07441 Issued in LA
Practice address
121 Rue Louis Xiv BLDG 6
Lafayette, LA 70508-5786
Phone
(337) 456-6148
Fax
(337) 456-6339
NPI assigned
Jan 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT07441 LA Primary

Addresses

Primary practice location

121 Rue Louis Xiv BLDG 6
Lafayette, LA 70508-5786

Mailing address

121 Rue Louis Xiv BLDG 6
Lafayette, LA 70508-5786
Phone (337) 456-6148

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090416000205 LA Practitioner - Physical Therapist in Private Practice 7214084839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Physical Therapy, LLCGroup PAC ID 0749449585, 2 clinicians

Practice addresses (Care Compare)

1600 Camillia Blvd
BLDG C
Lafayette, LA 70508-5786
Phone (337) 456-6157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT07441LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Physical Therapy, LLC Physical Therapist CurrentSince Jan 9, 2012 Accepting new patients
McLeod-Trahan-Sheffield Physical Therapy Services, Inc. Physical Therapist PastSince Jun 4, 2015 Accepting new patients
MTS-LGH Therapy Services LLC Physical Therapist PastSince Aug 1, 2017 Accepting new patients

Locations

1600 Camellia Blvd
Bldg C
Lafayette, LA 70508
Phone (337) 456-6148

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1770729162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 RUE LOUIS XIV BLDG 6",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085786",
            "telephone_number": "337-456-6148",
            "fax_number": "337-456-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 RUE LOUIS XIV BLDG 6",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085786",
            "telephone_number": "337-456-6148",
            "fax_number": "337-456-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORREL",
        "first_name": "ALIX",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "PT07441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.