Active NPI
Mary M Hebert, PT
- Pediatric Physical Therapist
- Lafayette, LA
National Provider Identifier
1942450382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 00179
- Practice address
- 312 Guilbeau Rd
Suite 4B
Lafayette, LA 70506-6952 - Phone
- (337) 981-9940
- Fax
- (337) 981-2531
- NPI assigned
- Sep 23, 2008
- Last updated
- Sep 23, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 00179 | LA | Primary |
Addresses
Primary practice location
312 Guilbeau Rd
Suite 4B
Lafayette, LA 70506-6952
Mailing address
312 Guilbeau Rd
Suite 4B
Lafayette, LA 70506-6952
Phone (337) 981-9940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00179 | LA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christie Therapy Center, Inc. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1942450382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 GUILBEAU RD",
"address_2": "SUITE 4B",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705066952",
"telephone_number": "337-981-9940",
"fax_number": "337-981-2531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 GUILBEAU RD",
"address_2": "SUITE 4B",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705066952",
"telephone_number": "337-981-9940",
"fax_number": "337-981-2531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBERT",
"first_name": "MARY",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-23",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "LA",
"license": "00179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.