Individual provider Active NPI

Jennifer Smith Laperouse, P.T.

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1942516018
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT04558 Issued in LA
Practice address
1432 South College Road
Lafayette, LA 70503-2912
Phone
(337) 323-7080
Fax
(337) 237-2517
NPI assigned
Aug 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT04558 LA Primary

Addresses

Primary practice location

1432 South College Road
Lafayette, LA 70503-2912

Mailing address

P.O. Box 52021
Lafayette, LA 70505
Phone (337) 232-7080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110325000195 LA Practitioner - Physical Therapist in Private Practice 8527241710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Clinic of Lafayette, Inc.Group PAC ID 9931283223, 11 clinicians

Practice addresses (Care Compare)

1432 S College Rd
Lafayette, LA 70503-2912
Phone (337) 232-7080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Clinic of Lafayette, Inc. Physical Therapist CurrentSince Jul 1, 2010 Accepting new patients
Physical Therapy Clinic of Lafayette, LLC Physical Therapist Past Accepting new patients

Locations

1432 S College Rd
Lafayette, LA 70503
Phone (318) 232-7080

Organizations & group practices 2

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": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1942516018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 52021",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70505",
            "telephone_number": "337-232-7080",
            "fax_number": "337-237-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 SOUTH COLLEGE ROAD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032912",
            "telephone_number": "337-323-7080",
            "fax_number": "337-237-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPEROUSE",
        "first_name": "JENNIFER",
        "middle_name": "SMITH",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "PT04558",
            "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 Aug 26, 2010; 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.