John Thomas Dunbar IV, PT, DPT
Individual provider Active NPI Physical Therapist · Scott, LA
NPI 1801419072 · NPPES record last updated Feb 7, 2024
Key facts
- NPI
- 1801419072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 10582 (LA)
- Practice address
- 237 Brothers Rd
Scott, LA 70583-4809 - Phone
- (318) 240-4758
- NPI assigned
- May 22, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200707000346 | LA | Practitioner - Physical Therapist in Private Practice | 2860815040 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glory Rehab Services LLC | Physical Therapist | Current |
Accepting new patients |
| Lemoine Therapy Services of Cenla Inc | Physical Therapist | Current |
Accepting new patients |
| Therapy Center of Jefferson Davis Parish, Inc | Physical Therapist | Past |
Accepting new patients |
Locations
2002 Johnson St
Ste 100
Jennings, LA 70546
Phone (337) 824-8287
7406 Highway 1
Ste 102
Mansura, LA 71350
Phone (318) 240-7680
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10582 | LA | Yes |
Addresses
Primary practice location
237 Brothers Rd
Scott, LA 70583-4809
Mailing address
237 Brothers Rd
Scott, LA 70583-4809
Phone (318) 240-4758
Other providers in Scott, LA
- DDMS of Louisiana No 2, LLC
- Christopher Jacque Delaney
- Donavan Smith, DDS a Professional Dental Corporation
- Lynley Katherine Dornier
- Jessica Doxey
- Caleb Huy Duong
- Curtis Aaron Edwards
- Jonas Malik Etienne
- Brad Joseph Fanguy
- Finding and Loving Yourself LLC
All providers in Scott, LA · Physical Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.