Chad Ardoin, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

Z11807 Issued in LA

Practice address

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

Phone

(337) 304-8024

NPI assigned

Nov 14, 2017

Last updated

Mar 14, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Maxx Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Lake Charles, LA
  • NPI 1255964110

  Occupational Therapist

  NPD Authorized official

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1831602606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 BENVUE LN",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052654",
            "telephone_number": "337-304-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 LAKE ST # 600",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054306",
            "telephone_number": "337-304-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDOIN",
        "first_name": "CHAD",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "Z11807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Jacob Ardoin
• Jenny Ardoin
• Jessica Lee Ardoin

• Occupational Therapist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.