DRS Flynn Manceaux a Professional Chiropractic and Physical Therapy Co

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

277 Issued in LA

Legal business name

DRS FLYNN MANCEAUX A PROFESSIONAL CHIROPRACTIC AND PHYSICAL THERAPY CO

Practice address

6902 W Main St
Houma, LA 70360-2455

Phone

(985) 868-3136

Fax

(985) 868-4040

NPI assigned

May 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Glenn D ManceauxNPI 1972552743

Title

Co-Owner, Corp. President

Phone

(985) 868-3136

Specialties & licenses 6

Addresses

Other names 1

• FLYNN MANCEAUX ARCEMENT PIZZOLATO A PROFESSIONAL CHIROPRACTIC AND PHYS Other name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 6

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

• Glenn D. Manceaux, P.T., D.C., C.C.S.P.

  • Chiropractor
  • Houma, LA
  • NPI 1972552743
  Medicare reassignment Care Compare group NPD Authorized official
• Todd Arcement, D.C.

  • Chiropractor
  • Houma, LA
  • NPI 1841241262
  Medicare reassignment Care Compare group NPD
• Kerry M Guidry, D.C.

  • Chiropractor
  • Houma, LA
  • NPI 1295182434
  Medicare reassignment Care Compare group NPD
• Greg Pizzolato, D.C.

  • Chiropractor
  • Houma, LA
  • NPI 1972553279
  Medicare reassignment Care Compare group NPD
• Michael Thompson, D.C.

  • Chiropractor
  • Houma, LA
  • NPI 1295786614
  Medicare reassignment Care Compare group NPD
• Coleman Joseph Cormier, D.C

  • Chiropractor
  • Houma, LA
  • NPI 1417386038
  Medicare reassignment NPD

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1902063233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6902 W MAIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602455",
            "telephone_number": "985-868-3136",
            "fax_number": "985-868-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6902 W MAIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602455",
            "telephone_number": "985-868-3136",
            "fax_number": "985-868-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS FLYNN MANCEAUX A PROFESSIONAL CHIROPRACTIC AND PHYSICAL THERAPY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "MANCEAUX",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CO-OWNER, CORP. PRESIDENT",
        "authorized_official_telephone_number": "985-868-3136",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "638",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "985",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1112",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1279",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "277",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLYNN MANCEAUX ARCEMENT PIZZOLATO A PROFESSIONAL CHIROPRACTIC AND PHYS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ja'Khi Douglas
• Jason Paul Douglas, PT
• Ryan E Dozar, NP-C
• Dr Frank Graffagnino, Apmc
• Dr. Michael Boudreaux DDS LLC (Southern Dental Group)
• DRS Melancon Melancon & Theriot a Dental Corp
• Joseph Dubois, PT
• Beth V Duet, MSW, LCSW
• Katie Duet
• Bret Dufrene

• Chiropractor in Houma, LA
• Providers in Houma, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.