Ime Emerson Udom, PT, DPT, PHD

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

02072F Issued in LA

Practice address

5108 Hwy 56
Chauvin, LA 70344-8316

Phone

(985) 594-8332

Fax

(985) 594-8389

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

No

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.

• Lifespan Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Chauvin, LA
  • NPI 1700973054

  LA

  Medicare reassignment NPD Authorized official

Specialty

Physical Therapist in Private Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 23, 2025.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1881746766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58",
            "city": "CHAUVIN",
            "state": "LA",
            "postal_code": "703440058",
            "telephone_number": "985-594-8332",
            "fax_number": "985-594-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 HWY 56",
            "city": "CHAUVIN",
            "state": "LA",
            "postal_code": "703448316",
            "telephone_number": "985-594-8332",
            "fax_number": "985-594-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDOM",
        "first_name": "IME",
        "middle_name": "EMERSON",
        "name_prefix": "Dr.",
        "credential": "PT,  DPT, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "02072F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene Lapeyrouse
• Lifespan Physical Therapy, LLC
• Med Express of Chauvin a Medical LLC
• Kaylee Dupre Naquin, MS, RDN, LDN
• Sadegh Ramezani
• Wolfe'S Pharmacy
• Wolfes Pharmacy Inc

• All providers in Chauvin, LA
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.