Stephanie Lynn Marceaux, P.T.
Individual provider Active NPI Physical Therapist · Vinton, LA
NPI 1821153016 · NPPES record last updated Aug 10, 2012
Key facts
- NPI
- 1821153016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT02051 (LA)
- Practice address
- 1329A Horridge St
Vinton, LA 70668-4531 - Phone
- (337) 589-2626
- Fax
- (337) 589-2621
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT02051 | LA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT02051 | LA | Yes |
Addresses
Primary practice location
1329A Horridge St
Vinton, LA 70668-4531
Mailing address
1329A Horridge St
Vinton, LA 70668-4531
Phone (337) 589-2626
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821153016 | Other | LA | GROUP MEMBER NPI |
| 1316264153 | Other | LA | GROUP NPI |
| 5DT76 | Other | LA | GROUP PTAN |
| 5X761DT76 | Other | LA | GROUP MEMBER PTAN |
Other providers in Vinton, LA
- Keh Enterprises, Inc
- Lake Area Chiropractic Center, Inc.
- Lanes Pharmacy Inc
- Madison Theriot Lestage
- Louisiana Diagnostic and Imaging
- Milton Outreach Ministries
- Osteopractic Physical Therapy of Southwest Louisiana LLC
- Physical Therapy Clinic of Vinton LLC
- Quebedeaux Chiropractic Center
- Wendell Keith Quebedeaux
All providers in Vinton, 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 Aug 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.