Individual provider Active NPI

Jordan Bebee-Marshall, DPT

  • Physical Therapist
  • Lake Charles, LA
National Provider Identifier
1942824255
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10589 Issued in LA
Practice address
121 East St
Lake Charles, LA 70601-5973
Phone
(337) 245-2334
NPI assigned
Jun 2, 2020
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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 10589 LA Primary

Addresses

Primary practice location

121 East St
Lake Charles, LA 70601-5973

Mailing address

121 East St
Lake Charles, LA 70601-5973
Phone (337) 245-2334

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200610002297 LA Practitioner - Physical Therapist in Private Practice 6507287935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Louisiana State University School of Medicine in Shreveport, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Center of Jefferson Davis Parish, IncGroup PAC ID 0345207544, 19 clinicians

Practice addresses (Care Compare)

121 E St
Lake Charles, LA 70601-5973
Phone (337) 245-2334

4451 Nelson Rd
Lake Charles, LA 70605-4136
Phone (337) 564-5027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10589LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Center of Jefferson Davis Parish, Inc Physical Therapist CurrentSince Jan 2, 2026 Accepting new patients
Bee Well Physical Therapy and Wellness LLC CurrentSince Mar 26, 2023 Accepting new patients
Lemoine Therapy Services of Cenla Inc Physical Therapist PastSince Jan 1, 2005 Accepting new patients
Physical Therapy Clinic of Carencro LLC Physical Therapist Past Accepting new patients

Locations

204 E Saint Peter St
Carencro, LA 70520
Phone (337) 896-6685

1401 Church St
Jeanerette, LA 70544
Phone (337) 276-2803

2002 Johnson St
Jennings, LA 70546

2002 Johnson St
Ste 100
Jennings, LA 70546
Phone (337) 824-8287

105 Patriot St
Ste 201
Lafayette, LA 70508
Phone (337) 345-1957

4451 Nelson Rd
Lake Charles, LA 70605
Phone (337) 480-0027

Organizations & group practices 4

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": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1942824255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 EAST ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015973",
            "telephone_number": "337-245-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 EAST ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015973",
            "telephone_number": "337-245-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEBEE-MARSHALL",
        "first_name": "JORDAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10589",
            "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 Jan 10, 2025; 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.