IMAGE PHYSICAL THERAPY CENTER LLC (NPI# 1184760498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184760498 |
| Entity Type | Organization |
| Organization Name | IMAGE PHYSICAL THERAPY CENTER LLC |
| Practice Address |
3021 Verot School Rd Lafayette LA 70508 |
| Mailing Address |
3527 Ambassador Caffery Pkwy # 13 Box 13 Lafayette LA 70503-5130 |
| Practice Telephone | 3378576178 |
| Practice Fax Number | 3378576592 |
| Mailing Telephone | 3378576178 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-05-02 |
| Authorized Official Name | MRS. BOITUMELO P KGOADI (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 3378576178 |
| Authorized Official Credential | PHYSICAL THERAPI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
01833F | LA | Ambulatory Health Care Facilities |
| Street Address |
3021 VEROT SCHOOL RD |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| 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 |
| 1255494050 | Acadian Comprehensive Therapy | Clinic/Center | 1700 Kaliste Saloom Rd Ste 300, Lafayette, LA 70508-6187 | 2006-12-19 |
| 1124059415 | Physical Therapy Advantage | Clinic/Center | 805 W Congress St, Lafayette, LA 70501-5719 | 2006-07-05 |
| 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.