Jessica Theriot Horner, DPT
Individual provider Active NPI Physical Therapist · Brusly, LA
NPI 1992733646 · NPPES record last updated Apr 23, 2024
Key facts
- NPI
- 1992733646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 06972 (LA)
- Practice address
- 400 W St Francis St Ste 1
Brusly, LA 70719-2283 - Phone
- (225) 960-2680
- Fax
- (225) 256-0208
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baton Rouge Orthopaedic Clinic LLC
Practice addresses (Care Compare)
4443 Hwy 1 S
Port Allen, LA 70767-5907
Phone (225) 960-2680
8080 Bluebonnet Blvd
Baton Rouge, LA 70810-7827
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060915000468 | LA | Practitioner - Physical Therapist in Private Practice | 4284639725 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06972 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baton Rouge Orthopaedic Clinic | Current |
Accepting new patients | |
| Baton Rouge Orthopaedic Clinic, LLC | Physical Therapist | Current | Accepting new patients |
Locations
8080 Bluebonnet Blvd
Ste 1000
Baton Rouge, LA 70810
Phone (225) 408-6633
400 W St Francis St
Ste A1
Brusly, LA 70719
Phone (225) 960-2680
400 W St Francis St
Ste 1
Brusly, LA 70719
Phone (225) 960-2680
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 06972 | LA | Yes |
Addresses
Primary practice location
400 W St Francis St Ste 1
Brusly, LA 70719-2283
Mailing address
8080 Bluebonnet Blvd Ste 1000
Baton Rouge, LA 70810-7827
Phone (225) 924-2424
Other names
- Jessica Chenevert
Other providers in Brusly, LA
- Freds Stores of Tennessee Inc
- Ariel Nashandra Gilbert-Pate
- Eboni Harris
- Brian P Higgins
- Jay'la Holliday
- Innis Community Health Center, Inc
- Innis Community Health Center, Inc
- Natasha Williams Jones
- Alaina Renee Landry
- Louisiana Cni, LLC
All providers in Brusly, LA · Physical Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.