PHYSICAL THERAPY ADVANTAGE (NPI# 1124059415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124059415 |
| Entity Type | Organization |
| Organization Name | PHYSICAL THERAPY ADVANTAGE |
| Practice Address |
805 W Congress St Lafayette LA 70501-5719 |
| Practice Telephone | 3372620600 |
| Practice Fax Number | 3372620601 |
| Mailing Telephone | 3372620600 |
| Mailing Fax Number | 3372620601 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. CHANTELLE VIOLA AARON (DIRECTOR) |
| Authorized Official Telephone | 3372620600 |
| Authorized Official Credential | MSPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
03789 | LA | Ambulatory Health Care Facilities |
| Street Address |
805 W CONGRESS ST |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70501-5719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770797763 | Chantelle Viola Aaron | Physical Therapist | 805 W Congress St, Lafayette, LA 70501-5719 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326646134 | Gifted Hands Caregiver | Home Health Aide | 213 Grimsby St., Fafayette, LA 70501 | 2020-10-14 |
| 1740888551 | Complete Count LLC | Home Health | 713 South Orange St, Lafayette, LA 70501 | 2020-10-14 |
| 1154891471 | Lesha May | Case Manager/Care Coordinator | 113 W Covent St, Lafayette, LA 70501 | 2018-11-29 |
| 1871023994 | Nancy Bass Texada | Community/Behavioral Health | 525 South Buchanan, Lafayette, LA 70501 | 2017-06-13 |
| 1447706700 | Medicine Bin Plus LLC | Pharmacy | 1105 West Willow St, Lafayette, LA 70501 | 2016-08-28 |
| 1508227968 | Vicky Marie Senegal | Home Health Aide | 304 1/2 Rubria St., Lafayette, LA 70501 | 2016-03-14 |
| 1558766931 | Corey Gerard Porche | Counselor | 708 Jefferson Blvd., Lafayette, LA 70501 | 2014-10-28 |
| 1518362219 | Sherry Riddle | Counselor | 119 Caillouet Place, Lafayette, LA 70501 | 2014-10-24 |
| 1285057893 | Hearsts of Hope | Counselor | 911 General Mouton Avenue, Lafayette, LA 70501 | 2014-02-03 |
| 1437408549 | Jensen J. Bergeron | Counselor | 600 Jefferson Street Suite 903, Lafayette, LA 70501 | 2012-09-05 |
| Find all providers in zip 70501 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945735 | Mojo Physical Therapy, LLC | Clinic/Center | 1700 Coal Creek Dr Ste 1, Lafayette, CO 80026-2795 | 2019-11-04 |
| 1700446846 | Unlock Physical Therapy LLC | Clinic/Center | 3810 Ambassador Caffery Pkwy Ste 500, Lafayette, LA 70503-5266 | 2019-06-20 |
| 1760923478 | Women's Health and Healing Physical Therapy, Inc | Clinic/Center | 250 Lafayette Cir Ste 107, Lafayette, CA 94549-4389 | 2017-03-14 |
| 1528251543 | Peak To Peak Physical Therapy | Clinic/Center | 918a Dewing Ave, Lafayette, CA 94549-4223 | 2007-08-22 |
| 1780897165 | Health Flow Learning Center | Clinic/Center | 3341 Mt Diablo Blvd, Rear Bldg, Lafayette, CA 94549-4011 | 2007-05-08 |
| 1184760498 | Image Physical Therapy Center LLC | Clinic/Center | 3021 Verot School Rd, Lafayette, LA 70508 | 2007-01-30 |
| 1255494050 | Acadian Comprehensive Therapy | Clinic/Center | 1700 Kaliste Saloom Rd Ste 300, Lafayette, LA 70508-6187 | 2006-12-19 |
| 1427005057 | Physiomed Partners, LLC | Clinic/Center | 701 Robley Dr, Suite 135, Lafayette, LA 70503-5200 | 2006-05-28 |
| 1891786711 | Dynamic Orthotic Services, Inc. | Clinic/Center | 103 E Pinhook Rd, Lafayette, LA 70501-8531 | 2005-10-31 |
| 1437159852 | Boulet Rehabilitation Services, Inc. | Clinic/Center | 119 Representative Row, Lafayette, LA 70508-3833 | 2005-07-28 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.