Kevin Patin Dessauer

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

08076 Issued in LA

Practice address

2721 N Causeway Blvd
Metairie, LA 70002-6051

Phone

(504) 841-0150

Fax

(504) 841-0180

NPI assigned

Jun 2, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Louisiana State University School of Medicine in New Orleans, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baudry Therapy CenterGroup PAC ID 8729158365, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Baudry Therapy Center

  • Orthopedic Physical Therapist
  • Metairie, LA
  • NPI 1922273812
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1922392380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 N CAUSEWAY BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026051",
            "telephone_number": "504-841-0150",
            "fax_number": "504-841-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 N CAUSEWAY BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026051",
            "telephone_number": "504-841-0150",
            "fax_number": "504-841-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESSAUER",
        "first_name": "KEVIN",
        "middle_name": "PATIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desire Care, LLC
• Richelle Deslatte, OT
• Davy J Desoto, CRNA
• Joel Desoto
• Candice Desroches, CIT
• Destined for Options
• Destined for Options LLC
• Destined for Options LLC
• Destined for Options LLC
• Ann Carlin Dettman, SSP, LSSP

• Physical Therapist in Metairie, LA
• Providers in Metairie, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.