Therateam Outpatient Services, LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

04785 Issued in LA

Legal business name

THERATEAM OUTPATIENT SERVICES, LLC

Practice address

4615 Highway 80
Haughton, LA 71037-7441

Phone

(318) 615-3003

Fax

(318) 615-3004

NPI assigned

Nov 28, 2012

Last updated

Feb 27, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Trent Shepherd, P.T.

Title

Administrator

Phone

(318) 518-0584

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lance Danos, PT, DPT

  • Physical Therapist
  • Haughton, LA
  • NPI 1609480920
  Medicare reassignment Care Compare group NPD
• Marietta Suzanne Shepherd, PT

  • Physical Therapist
  • Shreveport, LA
  • NPI 1063010148
  Medicare reassignment Care Compare group NPD
• Trenton B Shepherd, PT

  • Physical Therapist
  • Shreveport, LA
  • NPI 1093043622
  Medicare reassignment Care Compare group NPD
• Cara Adcock

  • Physical Therapist
  • Natchitoches, LA
  • NPI 1518216399
  Medicare reassignment NPD
• Jessica Granger Clark

  • Physical Therapist
  • Ruston, LA
  • NPI 1942864582
  Medicare reassignment NPD
• Nathan Clark

  • Physical Therapist
  • Coppell, TX
  • NPI 1932763570

  LA

  Medicare reassignment NPD
• Joe F Bienvenu, O.T.

  • Occupational Therapist
  • Natchitoches, LA
  • NPI 1477705556
  NPD (past)
• Russel Bienvenu, OT

  • Occupational Therapist
  • Natchitoches, LA
  • NPI 1194047852
  NPD (past)
• Lauren Burkett, MOT, OTR/L

  • Occupational Therapist
  • Natchitoches, LA
  • NPI 1023619640
  NPD (past)
• Richard Busch, OT

  • Occupational Therapist
  • Natchitoches, LA
  • NPI 1255653911
  NPD (past)
• David Hebert, PT

  • Physical Therapist
  • Natchitoches, LA
  • NPI 1972995678
  NPD (past)
• Randee Knapp

  • Speech-Language Pathologist
  • Natchitoches, LA
  • NPI 1598181992
  NPD (past)

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1821333055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ISADORE ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575747",
            "telephone_number": "318-238-2810",
            "fax_number": "318-238-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 HIGHWAY 80",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710377441",
            "telephone_number": "318-615-3003",
            "fax_number": "318-615-3004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6723 Pines Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711292590",
            "country_code": "US",
            "telephone_number": "318-562-3944",
            "fax_number": "318-562-3945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERATEAM OUTPATIENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "TRENT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-518-0584",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "04785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer M Smith, RPH
• Lisa Lynn Smith, OTR
• Sports Orthopedic & Spine Therapy of Louisiana, LLC
• Patricia A Ta, BCBA
• Taylormade Transport
• Thomas G Latiolais MD (Acorn to Oak Pediatrics)
• Tanikqa Thomas, TANIKQA
• Geneva Sheree Toms, MS
• Patricia Palmer Trim
• Amber Callahan Tullos, M.A. CCC-SLP

• Orthopedic Physical Therapist in Haughton, LA
• Providers in Haughton, LA by specialty
• Orthopedic Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.