Active NPI
Andrew Keith Eakin, DPT
- Physical Therapist
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11619
- Practice address
- 190 Gloria Dr Unit 100
Lake Charles, LA 70611-5043 - Phone
- (337) 214-2930
- NPI assigned
- Aug 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11619 | LA | Primary |
Addresses
Primary practice location
190 Gloria Dr Unit 100
Lake Charles, LA 70611-5043
Mailing address
1710 Deer Creek Dr
Sulphur, LA 70665-9300
Phone (337) 287-2892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
242 Sam Houston Jones Pkwy
Lake Charles, LA 70611-5603
Phone (337) 905-4000
3905 Kingston St
Lake Charles, LA 70605-3461
Phone (337) 478-4780
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calcasieu Urgent Care, LLC | Current | Accepting new patients | |
| Calcasieu Urgent Care LLC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Action Potential Physical Therapy - Moss Bluff, LLC | Past | Accepting new patients |
Locations
2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919
242 Sam Houston Jones Pkwy
Moss Bluff, LA 70611
Phone (337) 905-4000
132 Well Rd
West Monroe, LA 71291
Phone (318) 217-6521
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Lake Charles, LA
- NPI 1467715490
-
- Physical Therapist
- Lake Charles, LA
- NPI 1891156055
-
- Rural Health Clinic/Center
- Breaux Bridge, LA
- NPI 1194482398
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
-
- Physical Therapy Clinic/Center
- Lake Charles, LA
- NPI 1912843855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1932881158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 DEER CREEK DR",
"city": "SULPHUR",
"state": "LA",
"postal_code": "706659300",
"telephone_number": "337-287-2892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 GLORIA DR UNIT 100",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706115043",
"telephone_number": "337-214-2930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAKIN",
"first_name": "ANDREW",
"middle_name": "KEITH",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "11619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.