Individual provider Active NPI

Kristy Trosclair Bourgeois, PT

  • Physical Therapist
  • Houma, LA
National Provider Identifier
1801076658
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
07272 Issued in LA
Practice address
478 Corporate Dr
Houma, LA 70360-2461
Phone
(985) 872-5911
Fax
(985) 872-6155
NPI assigned
Nov 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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 07272 LA Primary

Addresses

Primary practice location

478 Corporate Dr
Houma, LA 70360-2461

Mailing address

209 Cane Break Dr
Thibodaux, LA 70301-3981
Phone (985) 872-5911

Other names 1

  • Kristy L. Trosclair Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080709000102 LA Practitioner - Physical Therapist in Private Practice 0143392159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Isr Physical Therapy of HoumaGroup PAC ID 4789621079, 5 clinicians

Practice addresses (Care Compare)

478 Corporate Dr
Houma, LA 70360-2461
Phone (985) 872-5911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07272LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Isr Physical Therapy of Houma Physical Therapist CurrentSince Jun 1, 2008 Accepting new patients

Locations

814 Grand Caillou Rd
Ste 17
Houma, LA 70363
Phone (985) 346-0383

478 Corporate Dr
Houma, LA 70360
Phone (985) 872-5911

1516 River Oaks Rd W
New Orleans, LA 70123
Phone (504) 733-2111

Organizations & group practices 1

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": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1801076658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CANE BREAK DR",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703013981",
            "telephone_number": "985-872-5911",
            "fax_number": "985-872-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 CORPORATE DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602461",
            "telephone_number": "985-872-5911",
            "fax_number": "985-872-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURGEOIS",
        "first_name": "KRISTY",
        "middle_name": "TROSCLAIR",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "TROSCLAIR",
            "middle_name": "L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.