Organization Active NPI

Laterre Physical Therapy, Inc

  • Physical Therapist
  • Houma, LA
National Provider Identifier
1891915864
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0303 Issued in LA
Legal business name
LATERRE PHYSICAL THERAPY, INC
Practice address
901 Verret St
Houma, LA 70360-4637
Phone
(985) 868-3806
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Donald P Kinnard, LPTNPI 1790897478
Title
Owner
Phone
(985) 868-3806

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 0303 LA Primary

Addresses

Primary practice location

901 Verret St
Houma, LA 70360-4637

Mailing address

901 Verret St
Houma, LA 70360-4637
Phone (985) 868-3806

Other names 1

  • Terrebonne Physical Therapy Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170719000640 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4284530528 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Houma, LA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
La Terre Physical Thera2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

901 Verret St
Ste B
Houma, LA 70360

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1891915864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 VERRET ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604637",
            "telephone_number": "985-868-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 VERRET ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604637",
            "telephone_number": "985-868-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATERRE PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "KINNARD",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-868-3806",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "0303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terrebonne Physical Therapy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.