Dustin Percle

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11806 Issued in LA

Practice address

1610 Belle Chasse Hwy
Terrytown, LA 70056-7056

Phone

(504) 362-1000

Fax

(504) 584-7747

NPI assigned

Jun 3, 2024

Sex

Male

Sole proprietor

No

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

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epic Physical Therapy, LLCGroup PAC ID 2860822731, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Epic Physical Therapy, LLC

  • Physical Therapist
  • Belle Chasse, LA
  • NPI 1720621642
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1861233082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 BELLE CHASSE HWY",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700567056",
            "telephone_number": "504-362-1000",
            "fax_number": "504-584-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 BELLE CHASSE HWY",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700567056",
            "telephone_number": "504-362-1000",
            "fax_number": "504-584-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCLE",
        "first_name": "DUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parkway Family Dental, LLC
• Gail Parry
• Pathology Consultants LLC
• Courtney Paul, MA
• Pearson Resipte
• Perfect Fit Training LLC
• Tiffany Perry
• Personal Care Partners, LLC
• Tanisha Peterson, LCSW
• Phoenix Counseling and Therapeutic Services, LLC

• Physical Therapist in Terrytown, LA
• Providers in Terrytown, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.