Active NPI
Dicharry Physical Therapy LLC
- Physical Therapist
- Lutcher, LA
National Provider Identifier
1912417866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- DICHARRY PHYSICAL THERAPY LLC
- Practice address
- 1959 Highway 3125 Ste 1
Lutcher, LA 70071-5641 - Phone
- (225) 869-9632
- Fax
- (225) 869-9633
- NPI assigned
- Oct 5, 2017
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Ms. Daphne Z. Dicharry, DPT
- Title
- President
- Phone
- (225) 869-9632
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171117000870 | LA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 0749546182 |
Receives reassigned benefits from 1 practitioner Practice locations: Lutcher, LA |
National Provider Directory
National Provider DirectorySpecialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
NPPES NPI RegistryPrimary practice location
1959 Highway 3125 Ste 1
Lutcher, LA 70071-5641
Mailing address
1959 Highway 3125 Ste 1
Lutcher, LA 70071-5641
Phone (225) 869-9632
Other names 1
NPPES NPI Registry- Kinetix Orthopedic & Sports Therapy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 5, 2017.
{
"created_epoch": "1507161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1507161600000",
"number": "1912417866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1959 HIGHWAY 3125 STE 1",
"city": "LUTCHER",
"state": "LA",
"postal_code": "700715641",
"telephone_number": "225-869-9632",
"fax_number": "225-869-9633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 HIGHWAY 3125 STE 1",
"city": "LUTCHER",
"state": "LA",
"postal_code": "700715641",
"telephone_number": "225-869-9632",
"fax_number": "225-869-9633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DICHARRY PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-05",
"last_updated": "2017-10-05",
"status": "A",
"authorized_official_last_name": "DICHARRY",
"authorized_official_first_name": "DAPHNE",
"authorized_official_middle_name": "Z.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "225-869-9632",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kinetix Orthopedic & Sports Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lutcher, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.