Individual provider Active NPI

Eric P Lambousy, P.T.

  • Physical Therapist
  • Jennings, LA
National Provider Identifier
1821328642
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
03602 Issued in LA
Practice address
1322 Elton Road
Suite I
Jennings, LA 70546
Phone
(337) 824-5488
Fax
(337) 824-5494
NPI assigned
Dec 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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 03602 LA Primary

Addresses

Primary practice location

1322 Elton Road
Suite I
Jennings, LA 70546

Mailing address

1322 Elton Rd
Suite I
Jennings, LA 70546-4100
Phone (337) 824-5488

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100730000300 LA Practitioner - Physical Therapist in Private Practice 0941333736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1455 Wright Ave
Suite a
Crowley, LA 70526-2220
Phone (337) 514-2079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
03602LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric P. Lambousy PT Inc Physical Therapist CurrentSince Jun 27, 2017 Accepting new patients

Locations

1455 Wright Ave
Ste A
Crowley, LA 70526
Phone (337) 514-2079

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1821328642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 ELTON RD",
            "address_2": "SUITE I",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464100",
            "telephone_number": "337-824-5488",
            "fax_number": "337-824-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 ELTON ROAD",
            "address_2": "SUITE I",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "70546",
            "telephone_number": "337-824-5488",
            "fax_number": "337-824-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBOUSY",
        "first_name": "ERIC",
        "middle_name": "P",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "03602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jennings, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.