Chad Ardoin, OTR/L – Occupational Therapist

Key facts

NPI: 1831602606
Entity type: Individual (NPI type 1)
Primary specialty: Occupational Therapist 225X00000X
License: Z11807 (LA)
Practice address: 4112 Lake St # 600
Lake Charles, LA 70605-4306
Phone: (337) 304-8024
NPI assigned: Nov 14, 2017
Sex: Male
Sole proprietor: Yes

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.

Maxx Physical Therapy, LLC Physical Therapy Clinic/Center · Lake Charles, LA · NPI 1255964110

NPD OCCUPATIONAL THERAPIST

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
Z11807	LA	MD	Occupational Therapist

Practice roles

Organization	Specialty	Status	New patients
Maxx Physical Therapy, LLC	Occupational Therapist	Current since Jan 2, 2020	Accepting new patients

Locations

1714 Wolf Cir
Lake Charles, LA 70605
Phone (337) 240-9511

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Occupational Therapist	225X00000X	Z11807	LA	Yes

Addresses

Primary practice location

4112 Lake St # 600
Lake Charles, LA 70605-4306

Mailing address

1123 Benvue LN
Lake Charles, LA 70605-2654
Phone (337) 304-8024

Other providers in Lake Charles, LA

Christopher Martin Arceneaux, PMHNP-BC
Joshua Arceneaux
Stacy Arceneaux
Dewey Dale Archer Jr., MD
Cassidy Blair Ardoin-Barnett, OTD, OTR/L
Charlotte Renee' Ardoin, FNP
Deidre Ann Ardoin, PT, MSPT
Jenny Ardoin
Jessica Lee Ardoin
Jillian L Ardoin, LMT

All providers in Lake Charles, LA · Occupational 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 Mar 14, 2018. 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.

Verify at the official NPI Registry.