Organization Active NPI

Tri City Physical Therapy, Inc.

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1871543918
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TRI CITY PHYSICAL THERAPY, INC.
Practice address
233 Doucet Rd
Lafayette, LA 70503-3403
Phone
(337) 991-9972
Fax
(337) 991-9974
NPI assigned
May 11, 2006
Last updated
Jul 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Mr. Andre Guerin, PTNPI 1275585895
Title
Owner/Physical Therapist
Phone
(337) 991-9972

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

233 Doucet Rd
Lafayette, LA 70503-3403

Mailing address

PO Box 80965
Lafayette, LA 70598-0965
Phone (337) 991-9972

Other identifiers 1

IdentifierTypeStateIssuer
F6273OtherLABCBS OF LOUISIANA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040325000289 LA Part B Supplier - Clinic/Group Practice 3870485030 Receives reassigned benefits from 7 practitioners
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

233 Doucet Rd
Lafayette, LA 70503
Phone (337) 991-9972

233 Doucet Rd
Ste B2
Lafayette, LA 70503
Phone (337) 991-9972

6772 Johnston St
Ste 1300
Lafayette, LA 70503

6772 Johnston St
Unit 1300
Lafayette, LA 70503
Phone (337) 534-8052

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1871543918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80965",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705980965",
            "telephone_number": "337-991-9972",
            "fax_number": "337-991-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 DOUCET RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033403",
            "telephone_number": "337-991-9972",
            "fax_number": "337-991-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CITY PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "GUERIN",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "337-991-9972",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF LOUISIANA",
            "identifier": "F6273",
            "state": "LA"
        }
    ],
    "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 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.