Individual provider Active NPI

Lauren P Grant, DPT

  • Physical Therapist
  • Lake Charles, LA
National Provider Identifier
1811218605
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
07851 Issued in LA
Practice address
4080 Nelson Rd Ste 500
Lake Charles, LA 70605-2440
Phone
(337) 494-7546
Fax
(931) 906-4173
NPI assigned
Jun 16, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 07851 LA Primary

Addresses

Primary practice location

4080 Nelson Rd Ste 500
Lake Charles, LA 70605-2440

Mailing address

PO Box 681478
Franklin, TN 37068-1478
Phone (615) 591-6590

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170907001136 LA Practitioner - Physical Therapist in Private Practice 2860765294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Action Potential Physical Therapy IncGroup PAC ID 9436381811, 5 clinicians

Practice addresses (Care Compare)

4080 Nelson Rd
Suite 500
Lake Charles, LA 70605-2440
Phone (337) 494-7546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Action Potential Physical Therapy, Inc. Physical Therapist CurrentSince Aug 21, 2017 Accepting new patients
Action Potential Physical Therapy - Moss Bluff, LLC Past Accepting new patients

Locations

190 Gloria Dr
#100
Lake Charles, LA 70611
Phone (337) 214-2930

2100 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 310-5116

4080 Nelson Rd
Ste 500
Lake Charles, LA 70605
Phone (337) 494-7546

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": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811218605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681478",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681478",
            "telephone_number": "615-591-6590",
            "fax_number": "615-591-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 NELSON RD STE 500",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052440",
            "telephone_number": "337-494-7546",
            "fax_number": "931-906-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "LAUREN",
        "middle_name": "P",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.