Individual provider Active NPI

Parker Allen Parra, DPT

  • Physical Therapist
  • Youngsville, LA
National Provider Identifier
1902455678
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10455 Issued in LA
Practice address
302 Lafayette St Ste B
Youngsville, LA 70592-5479
Phone
(337) 856-1717
Fax
(337) 856-1818
NPI assigned
Sep 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 10455 LA
Orthopedic Physical Therapist 2251X0800X 10455 LA
Physical Therapist 225100000X 10455 LA Primary

Addresses

Primary practice location

302 Lafayette St Ste B
Youngsville, LA 70592-5479

Mailing address

215 Staring LN
Baton Rouge, LA 70810-4064
Phone (225) 444-5764

Other practice location 1

215 Staring Ln
Baton Rouge, LA 70810-4064
Phone (225) 444-5764

Other practice location 2

215 Staring Ln
Baton Rouge, LA 70810-4064
Phone (225) 444-5764

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200305001981 LA Practitioner - Physical Therapist in Private Practice 8628405586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MTS-LGH Therapy Services LLCGroup PAC ID 1052683174, 29 clinicians

Practice addresses (Care Compare)

2115 Dulles Dr
Lafayette, LA 70506-2652
Phone (337) 981-9182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10455LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MTS-LGH Therapy Services LLC Physical Therapist CurrentSince Jul 21, 2020 Accepting new patients
McLeod-Trahan-Sheffield Physical Therapy Services, Inc. Physical Therapist CurrentSince Jun 4, 2015 Accepting new patients
Acadiana Physical Therapy, Inc. Physical Therapist PastSince Jan 1, 2013 Accepting new patients

Locations

1400 Rees St
Ste D
Breaux Bridge, LA 70517
Phone (337) 277-8129

2115 Dulles Dr
Lafayette, LA 70506
Phone (337) 261-0507

201 W Gloria Switch Rd
Ste H
Lafayette, LA 70507
Phone (337) 233-8080

4212 W Congress St
Ste 3600
Lafayette, LA 70506
Phone (318) 988-2004

4402 U S Highway 167
Ste B
Maurice, LA 70555
Phone (337) 516-3160

327 Iberia St
Ste 2
Youngsville, LA 70592
Phone (337) 856-1717

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1902455678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 STARING LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708104064",
            "telephone_number": "225-444-5764",
            "fax_number": "225-444-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 LAFAYETTE ST STE B",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925479",
            "telephone_number": "337-856-1717",
            "fax_number": "337-856-1818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Staring Ln",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708104064",
            "country_code": "US",
            "telephone_number": "225-444-5764",
            "fax_number": "225-444-5946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Staring Ln",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708104064",
            "country_code": "US",
            "telephone_number": "225-444-5764",
            "fax_number": "225-444-5946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARRA",
        "first_name": "PARKER",
        "middle_name": "ALLEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-05",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "LA",
            "license": "10455",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "10455",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngsville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.