JEREMY STILLWELL (NPI# 1174650659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174650659 |
| Entity Type | Individual |
| Full Name | JEREMY STILLWELL |
| Credential | PT |
| Practice Address |
217 Sam Houston Jones Pkwy Ste 103 Lake Charles LA 70611-5644 |
| Mailing Address |
2100 Oak Park Blvd Lake Charles LA 70601-7864 |
| Practice Telephone | 3372170997 |
| Practice Fax Number | 3372170998 |
| Mailing Telephone | 3373105116 |
| Mailing Fax Number | 3373105118 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2010-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 02441 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1548928 | 05 |
| Street Address |
217 SAM HOUSTON JONES PKWY STE 103 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70611-5644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972533602 | Sandra Denise Mary Bruno | Internal Medicine | 217 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5603 | 2006-07-05 |
| 1689915415 | Krystle Marie Diaz | Nurse Practitioner | 217 Sam Houston Jones Pkwy, Suite 101, Lake Charles, LA 70611-5644 | 2013-03-04 |
| 1962791699 | Ashley L Greenman | Family Medicine | 217 Sam Houston Jones Pkwy, Ste 104, Lake Charles, LA 70611-5644 | 2011-04-04 |
| 1740589621 | Stewart Greathouse | Family Medicine | 217 Sam Houston Jones Pkwy, Ste 104, Lake Charles, LA 70611-5644 | 2011-03-18 |
| 1063711943 | Micah Leleux | Family Medicine | 217 Sam Houston Jones Pkwy, Ste 104, Lake Charles, LA 70611-5644 | 2011-03-18 |
| 1184896748 | Sleep Disorder Center of Lousiana, LLC | Clinic/Center | 217 Sam Houston Jones Pkwy, Suite B, Lake Charles, LA 70611-5644 | 2008-03-24 |
| 1245411446 | Timothy C. Haman | Internal Medicine | 217 Sam Houston Jones Pkwy, Suite 102, Lake Charles, LA 70611-5644 | 2007-11-16 |
| 1295868024 | Sandra D.m. Bruno, M.d., LLC | Internal Medicine | 217 Sam Houston Jones Pkwy, Suite 101, Lake Charles, LA 70611-5603 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417429036 | Ochsner Clinic LLC | Internal Medicine | 1355 Sam Houston Jones Pkwy, Ste 355, Lake Charles, LA 70611 | 2018-12-20 |
| 1538669361 | Nafeesa Zindani | Family Medicine | Chadha Medical Clinic 237 Sam Houston Jones Pkwy, Lake Carles, LA 70611 | 2018-02-19 |
| 1265930457 | Mark Kwame Osebre | Pharmacist | 120 Us-171, Moss Bluff, LA 70611 | 2018-01-23 |
| 1255840690 | Eavy's Medical Transportation | Non-emergency Medical Transport (VAN) | 1274 You Winn Rd, Moss Bluff, LA 70611 | 2017-09-28 |
| 1417324112 | Golden Touch LLC | Respite Care | 633 Donna Dr., Lake Charles, LA 70611 | 2015-08-28 |
| 1801299037 | Howard Bosely | Pharmacist | 899 Hwy 171 North, Lake Charles, LA 70611 | 2014-10-02 |
| 1780938266 | Kendra P Achord | Pharmacist | 899 Hwy 171 N, Lake Charles, LA 70611 | 2012-11-05 |
| 1235435314 | John Trahan II Apdc | Dentist | 139 Gloria Dr., Lake Charles, LA 70611 | 2011-02-07 |
| 1629383559 | Michael Rand Pettit | Pharmacist | 114 Gloria Dr, Lake Charles, LA 70611 | 2010-08-16 |
| 1851417844 | Steven Raymond Latiolais | Dentist | 644 Highway 171 N, Suite D, Lake Charles, LA 70611 | 2007-03-21 |
| Find all providers in zip 70611 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629634480 | Elevate Physical Therapy, LLC | Physical Therapist | 5292 Nautical Dr, Lake Charles, LA 70615-3237 | 2019-05-16 |
| 1568930048 | Joshua Ryan Price | Physical Therapist | 1517 Covey Ln, Lake Charles, LA 70605-1332 | 2018-11-02 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1922513027 | Jason Randall Spooner | Physical Therapist | 4112 Lake St Ste 600, Lake Charles, LA 70605-4306 | 2017-12-11 |
| 1669808788 | Jennifer Frick | Physical Therapist | 1514 Alvin St, Lake Charles, LA 70601 | 2013-09-20 |
| 1407289531 | Claire Louise Manuel | Physical Therapist | 3221 Ryan Street, Suite D, Lake Charles, LA 70601 | 2013-08-13 |
| 1710269394 | Ratna Patel | Physical Therapist | 4000 Locke Ln Lot 24, Lake Charles, LA 70605-2244 | 2011-09-09 |
| 1356652952 | Blake Walker | Physical Therapist | 3212 2nd Avenue, Lake Charles, LA 70601 | 2010-06-29 |
| 1811218605 | Lauren P Grant | Physical Therapist | 4080 Nelson Rd Ste 500, Lake Charles, LA 70605-2440 | 2010-06-16 |
| 1861639387 | Kerry Woods | Physical Therapist | 4080 Nelson Rd Ste 400, Lake Charles, LA 70605-2439 | 2009-01-21 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70611 |
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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.