Individual provider Active NPI

Courtney Leblanc

  • Physical Therapist
  • Apopka, FL
National Provider Identifier
1962948752
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 32192 Issued in FL
Practice address
20 S Park Ave Ste a
Apopka, FL 32703-4269
Phone
(407) 880-8348
Fax
(407) 880-9570
NPI assigned
Jan 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 PT 32192 FL Primary

Addresses

Primary practice location

20 S Park Ave Ste a
Apopka, FL 32703-4269

Mailing address

20 S Park Ave Ste a
Apopka, FL 32703-4269
Phone (407) 880-8348

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200316000306 LA Practitioner - Physical Therapist in Private Practice 2769810316 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10146RLAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
PT 32192FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lemoine Therapy Services of Cenla Inc Physical Therapist CurrentSince Jan 16, 2024 Accepting new patients
Physical Therapy Clinic of Carencro LLC Physical Therapist PastSince Nov 13, 2019 Accepting new patients

Locations

4501 Jackson St
Ste D
Alexandria, LA 71303
Phone (318) 704-0710

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

7406 Highway 1
Ste 102
Mansura, LA 71350
Phone (318) 240-7680

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

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": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962948752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S PARK AVE STE A",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034269",
            "telephone_number": "407-880-8348",
            "fax_number": "407-880-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S PARK AVE STE A",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034269",
            "telephone_number": "407-880-8348",
            "fax_number": "407-880-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "COURTNEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 32192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.