Active NPI
Jean Arabie Willie, MPT
- Pediatric Physical Therapist
- Folsom, LA
National Provider Identifier
1972634640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 06403
- Practice address
- 12053 Highway 1078
Folsom, LA 70437-3508 - Phone
- (985) 796-3838
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 06403 | LA | Primary |
Addresses
Primary practice location
12053 Highway 1078
Folsom, LA 70437-3508
Mailing address
12053 Highway 1078
Folsom, LA 70437-3508
Phone (985) 796-3838
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Choice Physical Therapy of Livingston Parish Inc | Past | Accepting new patients | |
| PCPT of West Baton Rouge, Inc | Past | Accepting new patients | |
| Physicians' Choice Physical Therapy & Pain Center LLC | Pediatrics | Past | Accepting new patients |
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.
-
- Occupational Therapist
- Brusly, LA
- NPI 1932292190
-
- Physical Therapist
- Walker, LA
- NPI 1619060886
-
- Physical Therapy Clinic/Center
- Baton Rouge, LA
- NPI 1972840544
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972634640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12053 HIGHWAY 1078",
"city": "FOLSOM",
"state": "LA",
"postal_code": "704373508",
"telephone_number": "985-796-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12053 HIGHWAY 1078",
"city": "FOLSOM",
"state": "LA",
"postal_code": "704373508",
"telephone_number": "985-796-3838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIE",
"first_name": "JEAN",
"middle_name": "ARABIE",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "LA",
"license": "06403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.