Individual provider Active NPI

Ellen Devalcourt, PT

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1790754984
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05177 Issued in LA
Practice address
2115 Dulles Dr
Lafayette, LA 70506-2652
Phone
(337) 981-9182
Fax
(337) 988-3441
NPI assigned
Mar 17, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 05177 LA Primary

Addresses

Primary practice location

2115 Dulles Dr
Lafayette, LA 70506-2652

Mailing address

2115 Dulles Dr
Lafayette, LA 70506-2652
Phone (337) 981-9182

Other identifiers 2

IdentifierTypeStateIssuer
B4436OtherLABLUE CROSS/BLUE SHIELD
2966015OtherLACIGNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050609000013 LA Practitioner - Physical Therapist in Private Practice 6002859147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MTS-LGH Therapy Services LLCGroup PAC ID 1052683174, 29 clinicians

Practice addresses (Care Compare)

2115 Dulles Dr
Lafayette, LA 70506-2652
Phone (337) 981-9182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05177LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MTS-LGH Therapy Services LLC Physical Therapist CurrentSince Aug 1, 2017 Accepting new patients
Acadiana Physical Therapy, Inc. Physical Therapist PastSince Jan 1, 2013 Accepting new patients

Locations

1400 Rees St
Ste D
Breaux Bridge, LA 70517
Phone (337) 277-8129

201 W Gloria Switch Rd
Ste H
Lafayette, LA 70507
Phone (337) 233-8080

2115 Dulles Dr
Lafayette, LA 70506
Phone (337) 261-0507

4212 W Congress St
Ste 3600
Lafayette, LA 70506
Phone (318) 988-2004

4402 U S Highway 167
Ste B
Maurice, LA 70555
Phone (337) 516-3160

327 Iberia St
Ste 2
Youngsville, LA 70592
Phone (337) 856-1717

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790754984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 DULLES DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705062652",
            "telephone_number": "337-981-9182",
            "fax_number": "337-988-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 DULLES DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705062652",
            "telephone_number": "337-981-9182",
            "fax_number": "337-988-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVALCOURT",
        "first_name": "ELLEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "05177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "B4436",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2966015",
            "state": "LA"
        }
    ],
    "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 13, 2026; 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.