Active NPI
Kristy Trosclair Bourgeois, PT
- Physical Therapist
- Houma, LA
National Provider Identifier
1801076658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 07272
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 07272 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Isr Physical Therapy of Houma | Physical Therapist | Current | 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.
-
- Physical Therapist
- Houma, LA
- NPI 1194789669
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.