NPIMap

Organization Active NPI

Pediatric Therapy and Learning Center, LLC

  • Speech-Language Pathologist
  • Lafayette, LA
National Provider Identifier
1841674397
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7402 Issued in LA
Legal business name
PEDIATRIC THERAPY AND LEARNING CENTER, LLC
Practice address
108 Energy Pkwy
Lafayette, LA 70508-3818
Phone
(337) 504-4244
Fax
(337) 706-7612
NPI assigned
Jul 15, 2015
Last updated
Jul 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Mrs. Marsha LegoullonNPI 1295704294
Title
Clinical Director
Phone
(337) 322-3214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 7402 LA Primary

Addresses

Primary practice location

108 Energy Pkwy
Lafayette, LA 70508-3818

Mailing address

108 Energy Pkwy
Lafayette, LA 70508-3818
Phone (337) 504-4244

National Provider Directory

National Provider Directory

Locations

108 Energy Pkwy
Lafayette, LA 70508
Phone (337) 504-4244

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1841674397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 ENERGY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083818",
            "telephone_number": "337-504-4244",
            "fax_number": "337-706-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 ENERGY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083818",
            "telephone_number": "337-504-4244",
            "fax_number": "337-706-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY AND LEARNING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "LEGOULLON",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "337-322-3214",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "7402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.