Active NPI
Melissa Dufour Dufrene, PT
- Physical Therapist
- Barataria, LA
National Provider Identifier
1801122908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 01366
- Practice address
- 2365 Privateer Blvd
Barataria, LA 70036-5715 - Phone
- (504) 689-2274
- NPI assigned
- Oct 23, 2009
- Last updated
- Oct 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 01366 | LA | Primary |
Addresses
Primary practice location
2365 Privateer Blvd
Barataria, LA 70036-5715
Mailing address
2365 Privateer Blvd
Barataria, LA 70036-5715
Phone (504) 689-2274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01366 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triton Healthcare, Inc. | Physical Therapist | Past | Accepting new patients |
| Triton Healthcare | Past | Accepting new patients |
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.
-
- Skilled Nursing Facility
- Denham Springs, LA
- NPI 1821287848
-
- Physical Therapist
- Denham Springs, LA
- NPI 1093809923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256256000000",
"number": "1801122908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2365 PRIVATEER BLVD",
"city": "BARATARIA",
"state": "LA",
"postal_code": "700365715",
"telephone_number": "504-689-2274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2365 PRIVATEER BLVD",
"city": "BARATARIA",
"state": "LA",
"postal_code": "700365715",
"telephone_number": "504-689-2274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFRENE",
"first_name": "MELISSA",
"middle_name": "DUFOUR",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-23",
"last_updated": "2009-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "01366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barataria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.