MR. CLAYBORNE MARK LANDRENEAU (NPI# 1457663205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457663205 |
| Entity Type | Individual |
| Full Name | MR. CLAYBORNE MARK LANDRENEAU |
| Credential | PT, DPT, OCS |
| Practice Address |
1477 W Lasalle St Ville Platte LA 70586-2974 |
| Practice Telephone | 3373632600 |
| Practice Fax Number | 3373632599 |
| Mailing Telephone | 3373632600 |
| Mailing Fax Number | 3373632599 |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2013-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
07831 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1477 W LASALLE ST |
| City | VILLE PLATTE |
| State | LA |
| Zip Code | 70586-2974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053402453 | Healthwork Rehab, LLC | Physical Therapist | 1477 W Lasalle St, Ville Platte, LA 70586-2974 | 2006-09-28 |
| 1952471252 | David L Vidrine | Physical Therapist | 1477 W Lasalle St, Ville Platte, LA 70586-2974 | 2006-11-08 |
| 1508936899 | Andrew B Poche' | Physical Therapist | 1477 W Lasalle St, Ville Platte, LA 70586-2974 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942155 | Clhg-ville Platte LLC | Clinic/Center | 804 E. Main Street, Ville Platte, LA 70586 | 2020-11-06 |
| 1134766785 | Wilbur Doucet | Non-emergency Medical Transport (VAN) | 710 North Stagg Street, The Same, Ville Platte, LA 70586 | 2019-12-03 |
| 1114578242 | Tara Mcclendon | Home Health Aide | 171 Prairiedale Ave, Ville Platte, LA 70586 | 2019-09-20 |
| 1205391646 | Joy Nicole Jodon | Case Manager/Care Coordinator | 2683 Vidrine Rd., Ville Platte, LA 70586 | 2019-02-08 |
| 1467921973 | Hulin Urgent Care Services, LLC | Clinic/Center | 804 E. Lasalle Street, Ville Platte, LA 70586 | 2018-11-14 |
| 1871073304 | Heinen Medical Clinics LLC | Clinic/Center | 825 W Lasalle St, Ville Platte, LA 70586 | 2018-08-15 |
| 1134633357 | Jamie Lynn Thomas | Case Manager/Care Coordinator | 1411 West Oak Alley, Ville Platte, LA 70586 | 2017-11-27 |
| 1447764667 | Jeanne Feucht Comeaux | Counselor | 420 Whispering Pine Ln, Ville Platte, LA 70586 | 2017-11-27 |
| 1164950879 | Michelle Allison | Counselor | 418 N Fontenot St, Ville Platte, LA 70586 | 2017-05-24 |
| 1033647813 | Denise Anderson | Counselor | 506 W Jefferson St, Ville Platte, LA 70586 | 2017-05-24 |
| Find all providers in zip 70586 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898990 | Johnnie L Kleinschmidt | Physical Therapist | 1890 W Gauthier Rd Ste 125, Lake Charles, LA 70605-7180 | 2020-07-13 |
| 1740813534 | R R Rehab LLC | Physical Therapist | 3960 Florida St Ste 3, Mandeville, LA 70448-3340 | 2020-02-19 |
| 1871151399 | Amy Laura Stallings | Physical Therapist | 1135 Expressway Dr Ste 100a, Pineville, LA 71360-6666 | 2019-05-30 |
| 1467016428 | Grant Anthony Falcon | Physical Therapist | 2531 Dulles Dr, Lafayette, LA 70506-2660 | 2019-04-25 |
| 1184192254 | William Keith Mills II | Physical Therapist | 7872 Anselmo Ln Ste B, Baton Rouge, LA 70810-1101 | 2018-11-07 |
| 1225516982 | Mallory Kathryn Lott | Physical Therapist | 234 Loyola Ave Ste 302, New Orleans, LA 70112-2026 | 2018-08-03 |
| 1003315607 | Matthew Alan Armstrong | Physical Therapist | 2530 Bert Kouns Industrial Loop Ste 148, Shreveport, LA 71118-6114 | 2018-02-08 |
| 1972040228 | Lauren Chappetta King | Physical Therapist | Movement Science Center, 1201 Ochsner Blvd, Covington, LA 70433 | 2017-01-25 |
| 1770031197 | Jade Jones | Physical Therapist | 2310 Commons Ct., Unit 2, Ruston, LA 71270 | 2016-09-14 |
| 1265840516 | Benjamin Michael Wilt | Physical Therapist | 13334 W Mill Grove Dr, Gonzales, LA 70737-6564 | 2014-07-31 |
| Find all providers with the same taxonomy | ||||
| City | VILLE PLATTE |
| Zip Code | 70586 |
Please comment or provide details below to improve the information on MR. CLAYBORNE MARK LANDRENEAU.
| 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.