PHYSICAL MEDICINE CENTER (NPI# 1396742953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396742953 |
| Entity Type | Organization |
| Organization Name | PHYSICAL MEDICINE CENTER |
| Practice Address |
401 N College Rd Ste 3&4 Lafayette LA 70506-4263 |
| Practice Telephone | 3372335230 |
| Practice Fax Number | 3372335270 |
| Mailing Telephone | 3372335230 |
| Mailing Fax Number | 3372335270 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DEREK TODD DAVID (OWNER) |
| Authorized Official Telephone | 3372335230 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588767750 | Physical Medicine Center | Specialist | 1642 Roswell Rd, Marietta, GA 30062-3621 | 2006-09-06 |
| 1902810963 | Physical Medicine Center | Clinic/Center | 14522 University Point Pl, Tampa, FL 33613-5425 | 2006-07-27 |
| Street Address |
401 N COLLEGE RD STE 3&4 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-4263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952964355 | Cheyne Lynne Bamburg | Behavioral Analyst | 401 N College Rd, Lafayette, LA 70506-4263 | 2019-04-21 |
| 1942582184 | Gunter Physical Therapy LLC | Physical Therapist | 401 N College Rd, Suite 1, Lafayette, LA 70506-4263 | 2011-09-14 |
| 1558560177 | Jim Morvant Enterprises, Inc. | Chiropractor | 401 N College Rd, Suite 3, Lafayette, LA 70506-4263 | 2007-07-13 |
| 1467586644 | Francis J Morvant | Chiropractor | 401 N College Rd, Suite 3, Lafayette, LA 70506-4263 | 2007-03-16 |
| 1407966633 | Kim Hebert | Physical Therapist | 401 N College Rd, Ste. #3 & 4, Lafayette, LA 70506-4263 | 2006-08-30 |
| 1295743391 | Cherice Leonards | Physical Therapist | 401 N College Rd, Ste. #3 & 4, Lafayette, LA 70506-4263 | 2006-08-04 |
| 1952318503 | Megan King Comeaux | Occupational Therapist | 401 N College Rd, Ste. #3 & 4, Lafayette, LA 70506-4263 | 2006-08-02 |
| 1679589915 | The Physical Medicine Center, Inc. | Physical Therapist | 401 N College Rd, Ste. #3 & 4, Lafayette, LA 70506-4263 | 2006-07-31 |
| 1972534063 | Derek T David | Physical Therapist | 401 N College Rd, Ste. #3 & 4, Lafayette, LA 70506-4263 | 2006-07-06 |
| 1780681734 | Barry J Henry | Orthopaedic Surgery | 401 N College Rd, Ste. 2, Lafayette, LA 70506-4263 | 2005-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1841577392 | Banner Health Physicians Colorado LLC | Clinic/Center | 300 Exempla Cir Ste 200, Lafayette, CO 80026-3391 | 2011-11-11 |
| 1063432524 | O E Reavill M D, Apmc | Clinic/Center | 2501 W Pinhook Rd, Lafayette, LA 70508-3346 | 2006-07-20 |
| 1053344093 | Diabetes Self-management Center, Inc. | Clinic/Center | 420 W Pinhook Rd, Suite A, Lafayette, LA 70503-2131 | 2006-07-09 |
| 1790226611 | Checkup, LLC | Clinic/Center | 850 Kaliste Saloom Rd Ste 122, Lafayette, LA 70508-4230 | 2017-03-10 |
| 1306102884 | Acadiana Wound Clinic LLC | Clinic/Center | 850 N Pierce St, Suite C, Lafayette, LA 70501-2848 | 2012-04-09 |
| 1154654804 | Banner Greeley Specialists | Clinic/Center | 300 Exempla Cir, Suite 200, Lafayette, CO 80026-3397 | 2009-09-14 |
| 1467608752 | Ncmc Specialty Clinic | Clinic/Center | 300 Exempla Cir, Suite 200, Lafayette, CO 80026-3397 | 2008-08-18 |
| 1487852026 | Townsend Recovery, LLC | Clinic/Center | 2600 Johnston St, Suite 110, Lafayette, LA 70503-3269 | 2007-07-05 |
| 1699885855 | Lhcg-xi, LLC | Clinic/Center | 913 S College Rd, Suite 100, Lafayette, LA 70503-3060 | 2006-08-30 |
| 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.