Jena Courville, PTA, ATC

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A9100 Issued in LA

Practice address

1227 Louisiana 30 E
Gonzales, LA 70737

Phone

(225) 647-2060

NPI assigned

Jan 21, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• BRPT-Lake Rehabilitation Centers, LLC

  • Physical Therapy Clinic/Center
  • Baton Rouge, LA
  • NPI 1093797722
  NPD (past)

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1851758817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17110 FOUNTAINBLEAU DR",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707695385",
            "telephone_number": "337-277-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 LOUISIANA 30 E",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "70737",
            "telephone_number": "225-647-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURVILLE",
        "first_name": "JENA",
        "credential": "PTA, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "LA",
            "license": "A9100",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "LA",
            "license": "ATH.200249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Corbin
• Kelli Clebert Corkern, NP
• Christopher Cortez
• Megan H Cotten, SLP
• Christian L Coulon, P.T.
• Couture Transportation, LLC
• Cameron Duncan Cox, PA
• Carol B Craig, N.P.
• Aleah Raecheal Craighton, PA-C
• Leonard Gregory Crider, LCSW

• Physical Therapy Assistant in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Physical Therapy Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.