Marisol Macias

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10339 Issued in LA

Practice address

1326 Church St
Zachary, LA 70791-2743

Phone

(225) 654-8208

Fax

(225) 654-4642

NPI assigned

Jul 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moreau Physical Therapy Inc.Group PAC ID 3173419298, 81 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Moreau Physical Therapy Inc.

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1770568669
  Medicare reassignment Care Compare group NPD
• Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82

  • Physical Therapist
  • Beaumont, TX
  • NPI 1831962018
  NPD
• Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1750566071
  NPD (past)

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1972955540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 CHURCH ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912743",
            "telephone_number": "225-654-8208",
            "fax_number": "225-654-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 CHURCH ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912743",
            "telephone_number": "225-654-8208",
            "fax_number": "225-654-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIAS",
        "first_name": "MARISOL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louise S Davis Residential Facilities, LLC
• Louisiana CVS Pharmacy LLC
• LTAC Hospital of Feliciana, LLC
• Mary Margaret Macdonald, M.S./S.L.P
• Jeffery Kirk Machen, D.D.S.
• Traci Dajonai Maddrick
• Candace Fletcher Maggio, NP
• Main Street Pharmacy
• Mal-Son'S DME
• Christy Mamou, PSY,D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.