Individual provider Active NPI

Yvonne Ladouceur, PT

  • Physical Therapist
  • New Bern, NC
National Provider Identifier
1942549332
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P14100 Issued in NC
Practice address
2111 Neuse Blvd Ste K
New Bern, NC 28560-4318
Phone
(252) 637-5001
Fax
(252) 637-5007
NPI assigned
Feb 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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 P14100 NC Primary

Addresses

Primary practice location

2111 Neuse Blvd Ste K
New Bern, NC 28560-4318

Mailing address

2111 Neuse Blvd Ste K
New Bern, NC 28560-4318
Phone (252) 637-5001

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
P14100NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Craven Physical Therapy & Spine, Inc Physical Therapist CurrentSince Feb 11, 2013 Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Sep 15, 2019 Accepting new patients

Locations

2111 Neuse Blvd
Ste K
New Bern, NC 28560
Phone (252) 637-5001

4037 Route 130
Ste C4
Delran, NJ 08075
Phone (856) 764-0494

1509 Route 38
Ste 4
Hainesport, NJ 08036
Phone (609) 702-1515

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1942549332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 NEUSE BLVD STE K",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604318",
            "telephone_number": "252-637-5001",
            "fax_number": "252-637-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 NEUSE BLVD STE K",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604318",
            "telephone_number": "252-637-5001",
            "fax_number": "252-637-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADOUCEUR",
        "first_name": "YVONNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P14100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.