Pain and Performance Rehab, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

08100 Issued in LA

Legal business name

PAIN AND PERFORMANCE REHAB, INC.

Practice address

1144 Coolidge Blvd
Suite F
Lafayette, LA 70503-2622

Phone

(337) 504-5144

Fax

(337) 326-4545

NPI assigned

Feb 21, 2014

Last updated

Apr 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Derrick Hines, D.P.T.NPI 1922386572

Title

Owner/President

Phone

(337) 504-5144

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Derrick Blaine Hines, DPT

  • Physical Therapist
  • Lafayette, LA
  • NPI 1922386572
  Medicare reassignment Care Compare group NPD Authorized official
• Hubert Ashley Jr., PT

  • Physical Therapist
  • Lafayette, LA
  • NPI 1225570773
  Medicare reassignment Care Compare group NPD
• Chloe Nichole Hammett, PT

  • Physical Therapist
  • Lafayette, LA
  • NPI 1023792645
  Medicare reassignment Care Compare group NPD
• Jordan J Theriot, PT, DPT

  • Physical Therapist
  • Mansura, LA
  • NPI 1336893981
  Medicare reassignment Care Compare group NPD
• Claude Tremblay, P.T., D.P.T.

  • Physical Therapist
  • New Iberia, LA
  • NPI 1174674758
  Medicare reassignment NPD

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1942625314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 COOLIDGE BLVD",
            "address_2": "SUITE F",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032622",
            "telephone_number": "337-504-5144",
            "fax_number": "337-326-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 COOLIDGE BLVD",
            "address_2": "SUITE F",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032622",
            "telephone_number": "337-504-5144",
            "fax_number": "337-326-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND PERFORMANCE REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "337-504-5144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Eugene Padgett Jr., MD
• Nicholas Andrew Padgett, DPT
• Stephen Padgett, MD
• Padumane Lakshmiprasad
• Crystal Paille
• Pain Institute of la LLC
• Pain Management Interventions
• Pain Management Interventions LLC
• Kristen Paine, LPC
• Richard G. Palfrey, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.