Individual provider Active NPI

Carmen Carmouche, PT

  • Physical Therapist
  • Marrero, LA
National Provider Identifier
1821574328
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0436 Issued in LA
Practice address
4633 Wichers Dr
Marrero, LA 70072-3002
Phone
(504) 391-7670
NPI assigned
Jul 17, 2018
Last updated
Jul 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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 PT0436 LA Primary

Addresses

Primary practice location

4633 Wichers Dr
Marrero, LA 70072-3002

Mailing address

525 Bonnabel Blvd
Metairie, LA 70005-3259
Phone (504) 442-5552

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180822002574 LA Practitioner - Physical Therapist in Private Practice 7113276270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bone and Joint Clinic LLCGroup PAC ID 5799097556, 15 clinicians

Practice addresses (Care Compare)

4601 Westbank Expy
Marrero, LA 70072-3001
Phone (504) 347-5421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0436LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bone & Joint Clinic, LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Bone & Joint Clinic LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

4601 Westbank Expy
Marrero, LA 70072
Phone (504) 347-5421

4633 Wichers Dr
Marrero, LA 70072
Phone (504) 347-5421

2600 Belle Chasse Hwy
Ste I
Terrytown, LA 70056
Phone (504) 391-7670

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1179/brand/1/csg/101/fhir/r4

Organizations & group practices 3

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": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1821574328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 BONNABEL BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053259",
            "telephone_number": "504-442-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 WICHERS DR",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723002",
            "telephone_number": "504-391-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMOUCHE",
        "first_name": "CARMEN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "PT0436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.