Russell Wayne Gunter, PT
Individual provider Active NPI Physical Therapist · Scott, LA
NPI 1891744199 · NPPES record last updated Sep 5, 2012
Key facts
- NPI
- 1891744199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 04809 (LA)
- Practice address
- 101 Park West Dr
Suite B
Scott, LA 70583-8902 - Phone
- (337) 769-1556
- Fax
- (337) 769-1557
- NPI assigned
- May 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04809 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acadiana Physical Therapy, Inc. | Physical Therapist | Past |
Accepting new patients |
| MTS-LGH Therapy Services LLC | Physical Therapist | Past | Accepting new patients |
| Gunter Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 04809 | LA | Yes |
Addresses
Primary practice location
101 Park West Dr
Suite B
Scott, LA 70583-8902
Mailing address
PO Box 61651
Lafayette, LA 70596-1651
Phone (337) 412-6146
Other providers in Scott, LA
- Glory Rehab Services LLC
- Brandy Goodley
- Carmen Guilbeaux
- Tonya Lynn Guillory
- Gunter Physical Therapy LLC
- Hearts & Hands Med Co. LLC
- Heather Duplechain, LLC
- Claire Hebert
- Jonathan Michael Hollier
- Julesa Maree Howard
All providers in Scott, LA · Physical Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.