PHYSIOFIT DME LLC (NPI# 1134412216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134412216 |
| Entity Type | Organization |
| Organization Name | PHYSIOFIT DME LLC |
| Other Organization Name | ALUMNI MEDICAL |
| Practice Address |
120 White Rose Dr Raceland LA 70394-2644 |
| Practice Telephone | 9855322229 |
| Practice Fax Number | 9855322230 |
| Mailing Telephone | 9855322229 |
| Mailing Fax Number | 9855322230 |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2019-07-02 |
| Authorized Official Name | JEREMY JOHN BREAUX (OWNER) |
| Authorized Official Telephone | 9853813811 |
| Authorized Official Credential | B.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
6211 | LA | Suppliers |
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
6211 | LA | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 6211 | LA | Suppliers |
| Other Name | Type Code |
|---|---|
| Alumni Medical | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4313 Highway 1 Ste B, Raceland, LA 703943876 | 9853813811 | 9855323942 |
| Street Address |
120 WHITE ROSE DR |
| City | RACELAND |
| State | LA |
| Zip Code | 70394-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093872459 | Jennifer Matherne Plaisance | Physical Therapist | 120 White Rose Dr, Raceland, LA 70394-2644 | 2007-01-03 |
| 1194351361 | Caroline Robichaux Boone | Occupational Therapist | 120 White Rose Dr, Raceland, LA 70394-2644 | 2020-03-19 |
| 1740816404 | Elizabeth Ann Leboeuf | Physical Therapist | 120 White Rose Dr, Raceland, LA 70394-2644 | 2020-03-13 |
| 1811462351 | Grant Michael Thibodeaux | Physical Therapist | 120 White Rose Dr, Raceland, LA 70394-2644 | 2018-10-11 |
| 1063936466 | Jill Renee' Brady | Occupational Therapist | 120 White Rose Dr, Raceland, LA 70394-2644 | 2017-07-28 |
| 1316313547 | Brittany Grabert Chauvin | Physical Therapy Assistant | 120 White Rose Dr, Raceland, LA 70394 | 2015-08-11 |
| 1386080323 | Physiofit Physical Therapy, LLC | Clinic/Center | 120 White Rose Dr, Raceland, LA 70394-2644 | 2013-05-17 |
| 1699111674 | Physiofit Physical Therapy, LLC | Occupational Therapist | 120 White Rose Dr, Raceland, LA 70394-2644 | 2013-05-16 |
| 1184984924 | Christopher Daniel Blanchard | Physical Therapist | 120 White Rose Dr, Raceland, LA 70394-2644 | 2012-05-28 |
| 1174832406 | Darnell Vogt Burgess | Occupational Therapist | 120 White Rose Dr, Raceland, LA 70394-2644 | 2010-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598221798 | Caitlin Morris Bacon | Registered Nurse | 4244 Highway 1, Raceland, LA 70394 | 2019-02-13 |
| 1326571597 | Kakeisha Harris | Counselor | 144 Colvan St, Raceland, LA 70394 | 2017-04-05 |
| 1023468774 | Denise Taylor | Counselor | 4075 Hwy 1, Raceland, LA 70394 | 2016-06-14 |
| 1023471133 | Aubrey Orgeron | Psychiatry & Neurology | 111 Twin Oaks Dr., Raceland, LA 70394 | 2016-04-05 |
| 1114383239 | Michelle Rabb | Counselor | 3821 Hwy 1, Raceland, LA 70394 | 2016-01-05 |
| 1508221979 | Renisha Cecilia Oubre | Counselor | 3821 Highway 1, Raceland, LA 70394 | 2015-12-29 |
| 1922463983 | Kiaria Gray | Case Manager/Care Coordinator | 3821 La-1, Raceland, LA 70394 | 2015-12-17 |
| 1285068098 | Don A Falgout | Nurse Anesthetist, Certified Registered | 4608 Hwy 1, Raceland, LA 70394 | 2013-08-28 |
| 1215211933 | Dalton Joseph Boudreaux Jr. | Pharmacist | 4572 Hwy One, Raceland, LA 70394 | 2011-09-29 |
| 1790065746 | Cheri Lasseigne | Chiropractor | 108 Acadia Dr., Raceland, LA 70394 | 2011-08-23 |
| Find all providers in zip 70394 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790072 | Cover Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 719 Greenup Ave, Raceland, KY 41169-1166 | 2018-12-04 |
| 1588814776 | Stephen B. Morris, M.d. | Durable Medical Equipment & Medical Supplies | 162 Acadia Drive, Raceland, LA 70394 | 2008-09-24 |
| 1992723480 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4858 Highway 1, Raceland, LA 70394-2627 | 2006-07-17 |
| 1932338688 | Ochsner Clinic LLC | Durable Medical Equipment & Medical Supplies | 4608 Highway 1, Raceland, LA 70394-2623 | 2009-07-02 |
| 1811146426 | Ochsner Clinic LLC | Durable Medical Equipment & Medical Supplies | 106 Cypress St, Raceland, LA 70394-2764 | 2008-09-18 |
| 1619126224 | Ochsner Clinic LLC | Durable Medical Equipment & Medical Supplies | 104 Acadia Park Dr, Raceland, LA 70394-2618 | 2008-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612555 | Jill Covington Johnson | Durable Medical Equipment & Medical Supplies | 17098 W Willow Dr, Prairieville, LA 70769-4180 | 2020-09-01 |
| 1093325854 | Morning Star Medical | Durable Medical Equipment & Medical Supplies | 456 W 61st St, Shreveport, LA 71106-2511 | 2020-08-06 |
| 1386253300 | Michele Burmaster | Durable Medical Equipment & Medical Supplies | 68467 Highway 59 Ste 1, Mandeville, LA 70471-7786 | 2020-07-27 |
| 1619593308 | Preference Medical | Durable Medical Equipment & Medical Supplies | 105 Beech St, Covington, LA 70433-6214 | 2020-06-18 |
| 1871116095 | Tina Mayo Womack | Durable Medical Equipment & Medical Supplies | 18017 Glen Park Dr, Baton Rouge, LA 70817-9583 | 2020-05-21 |
| 1043832843 | Arkla Ramps, LLC | Durable Medical Equipment & Medical Supplies | 13522 S Choctaw Dr Ste 103, Baton Rouge, LA 70815-2819 | 2020-05-14 |
| 1083236053 | Factor- A | Durable Medical Equipment & Medical Supplies | 1200 Camellia Blvd Ste 400, Lafayette, LA 70508-6163 | 2020-05-13 |
| 1730718057 | Megan Mcsweeney Colosino | Durable Medical Equipment & Medical Supplies | 22 Plover St, New Orleans, LA 70124-4408 | 2020-04-07 |
| 1669001640 | Magnolia Healthcare Pa LLC | Durable Medical Equipment & Medical Supplies | 2519 N 7th St Ste 4, West Monroe, LA 71291-5170 | 2020-04-02 |
| 1558992966 | Summit South Dme, LLC | Durable Medical Equipment & Medical Supplies | 9357 Interline Ave, Baton Rouge, LA 70809-1910 | 2020-02-04 |
| Find all providers with the same taxonomy | ||||
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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.