Cullen Ballard

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12200 Issued in LA

Practice address

4150 Nelson Rd Ste 1
Lake Charles, LA 70605-4148

Phone

(337) 660-2996

NPI assigned

Aug 27, 2025

Last updated

Sep 3, 2025By the provider in NPPES

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, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Charles Sports and RehabGroup PAC ID 2961802293, 2 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake Charles Sports & Rehab

  • Physical Therapist
  • Lake Charles, LA
  • NPI 1194301317
  Medicare reassignment Care Compare group NPD
• Calcasieu Therapy Group LLC

  • Physical Therapist
  • Moss Bluff, LA
  • NPI 1487085320
  Medicare reassignment NPD
• Iowa Therapy Group LLC

  • Physical Therapist
  • Iowa, LA
  • NPI 1578617924
  Medicare reassignment NPD
• Kinder Therapy Group, LLC

  • Physical Therapist
  • Kinder, LA
  • NPI 1912780578
  Medicare reassignment NPD
• Southwest Louisiana Sports and Rehabilitation Center, LLC

  • Physical Therapist
  • Lake Charles, LA
  • NPI 1841357761
  Medicare reassignment NPD
• Thibodeaux, Albro & Touchet Therapy Group, LLC

  • Physical Therapist
  • Jennings, LA
  • NPI 1104973262
  Medicare reassignment NPD

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1891674628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 ELTON RD STE I",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464100",
            "telephone_number": "337-824-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 NELSON RD STE 1",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054148",
            "telephone_number": "337-660-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "CULLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "12200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica R. Baker, PHARM. D.
• Tammy Baker
• Balance Center, LLC
• Alesha Ann Baldwin, PT
• Jericka Balket
• Annabelle Bang, OTR
• Cathy Shelton Banks, DD, THEOLOGY
• Sarah Ardoin Bardin, FNP-C
• Drema Bares
• Casey Bryant Bargas, D.D.S

• Physical Therapist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Physical Therapist in Louisiana

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