ALVIN C MOREAU JR LICENSED (NPI# 1770568669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770568669 |
| Entity Type | Organization |
| Organization Name | ALVIN C MOREAU JR LICENSED |
| Other Organization Name | MOREAU PHYSICAL THERAPY |
| Practice Address |
1326 Church St Zachary LA 70791-2743 |
| Practice Telephone | 2256548208 |
| Practice Fax Number | 2256544642 |
| Mailing Telephone | 2256548208 |
| Mailing Fax Number | 2256544642 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2014-05-16 |
| Authorized Official Name | MRS. CRISTINA MARTINEZ FAUCHEUX (PARTNER CLINICAL DIRECTOR) |
| Authorized Official Telephone | 2256548208 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | MEDICARE BILLING NUMBER | 5C943 | 01 |
| Other Name | Type Code |
|---|---|
| Moreau Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487839338 | Alvin C Moreau Jr Licensed | Physical Therapist | 16309 Highway 190, Port Barre, LA 70577 | 2008-01-09 |
| 1750566071 | Alvin C Moreau Jr Licensed | Physical Therapist | 17301 Jefferson Hwy, Ste 3, Baton Rouge, LA 70817-6972 | 2008-01-05 |
| 1972769057 | Alvin C Moreau Jr Licensed | Durable Medical Equipment & Medical Supplies | 16309 Highway 190, Port Barre, LA 70577 | 2008-07-29 |
| 1023293099 | Alvin C Moreau Jr Licensed | Physical Therapist | 11424 Sullivan Rd, Bldg C, Suite A, Baton Rouge, LA 70818-3615 | 2008-01-08 |
| Street Address |
1326 CHURCH ST |
| City | ZACHARY |
| State | LA |
| Zip Code | 70791-2743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568086809 | Kayli Albares | Physical Therapist | 1326 Church St, Zachary, LA 70791-2743 | 2020-06-02 |
| 1144871716 | Sydney Ray Whittingslow | Occupational Therapist | 1326 Church St, Zachary, LA 70791-2743 | 2019-09-25 |
| 1508413717 | Taylor Paul Harrington | Physical Therapist | 1326 Church St, Zachary, LA 70791-2743 | 2019-08-22 |
| 1932766995 | Madeline E Roohi | Occupational Therapist | 1326 Church St, Zachary, LA 70791-2743 | 2019-05-24 |
| 1992264451 | Karen Yvette Kittredge | Occupational Therapist | 1326 Church St, Zachary, LA 70791-2743 | 2019-03-14 |
| 1871058586 | Mary Margaret Macdonald | Speech-Language Pathologist | 1326 Church St, Zachary, LA 70791-2743 | 2019-02-06 |
| 1518430172 | Kristin Nicole Hornsby | Physical Therapist | 1326 Church St, Zachary, LA 70791-2743 | 2019-01-07 |
| 1699241083 | Michelle Trahan | Speech-Language Pathologist | 1326 Church St, Zachary, LA 70791-2743 | 2018-10-23 |
| 1215411210 | Danielle H Imarata | Physical Therapist | 1326 Church St, Zachary, LA 70791-2743 | 2018-09-17 |
| 1063990380 | Amy Sullivan | Speech-Language Pathologist | 1326 Church St, Zachary, LA 70791-2743 | 2018-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164054110 | Amandalin Hopkins Whittington | Occupational Therapist | 4555 Bert St, Zachary, LA 70791 | 2020-02-07 |
| 1346883352 | Dr Terrell S Manuel LLC | Nurse Practitioner | 12038 Greenwell Springs/port Hudson Road, Zachary, LA 70791 | 2019-10-22 |
| 1902451131 | Edward Williams | Case Manager/Care Coordinator | 22749 Fairvway View Drive, Zachary, LA 70791 | 2019-08-05 |
| 1275090672 | Ashley Talbot Thompson | Nurse Practitioner | 5645 Newell St, Zachary, LA 70791 | 2019-02-22 |
| 1659867265 | American Oncology Partners, P.a. | Internal Medicine | 1673 E Mount Pleasant Rd Unit F102, Zachary, LA 70791 | 2018-07-06 |
| 1629574447 | Darren Keith Ryland | Massage Therapist | 5037 Main St, Suite B, Zachary, LA 70791 | 2018-04-02 |
| 1306355102 | Radiation Oncology Center - Zachary | Clinic/Center | 6180 Main Street, Ste B, Zachary, LA 70791 | 2017-09-25 |
| 1861913568 | Sylvia Simone Henderson | Case Manager/Care Coordinator | 8932 Highland Oaks Ave, Zachary, LA 70791 | 2017-07-03 |
| 1346770674 | Gaylian Anthony White | Counselor | 20051 Old Senic Hwy, Apt 2605, Zachary, LA 70791 | 2017-06-19 |
| 1104353218 | Jessica Rene Griffin | Counselor | 6676 Lakeridge Drive, Zachary, LA 70791 | 2017-05-19 |
| Find all providers in zip 70791 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860539 | Derrick Hotard | Clinic/Center | 4845 Main St, Zachary, LA 70791-3943 | 2020-10-28 |
| 1508377623 | Cope Aquatic Therapy, LLC | Clinic/Center | 4242 Highway 19 Ste B-3, Zachary, LA 70791-3982 | 2017-10-16 |
| 1568830180 | Core Kinetics Physical Therapy, LLC | Clinic/Center | 1673 E Mount Pleasant Rd, Unit F, Zachary, LA 70791-5917 | 2015-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851878 | Geaux Fight Rehabilitation Services, LLC | Clinic/Center | 424 W 15th Ave, Covington, LA 70433-3310 | 2020-11-03 |
| 1558961185 | Ashley Marie Cagle | Clinic/Center | 837 Birdnest Rd, Lake Charles, LA 70611-5816 | 2020-11-01 |
| 1437766961 | Louisiana Concierge Physical Therapy, LLC | Clinic/Center | 10710 Misty Vale Ave, Baton Rouge, LA 70810-3030 | 2020-09-29 |
| 1043836141 | Rehab Plus, LLC | Clinic/Center | 1242 S Morrison Blvd Ste O, Hammond, LA 70403-5702 | 2020-06-24 |
| 1972142024 | Resilience Concierge Physical Therapy | Clinic/Center | 609 Woodmere Dr, Shreveport, LA 71115-3815 | 2020-01-06 |
| 1437796943 | Angels of Therapy LLC | Clinic/Center | 1503 Gause Blvd Ste 6, Slidell, LA 70458-2246 | 2019-12-03 |
| 1598308884 | Bennett Physical Therapy, LLC | Clinic/Center | 64167 Highway 41 Ste C, Pearl River, LA 70452-3638 | 2019-10-20 |
| 1235791930 | Lakeview Physical Therapy and Spine LLC | Clinic/Center | 435 28th St, New Orleans, LA 70124-1327 | 2019-07-02 |
| 1700446846 | Unlock Physical Therapy LLC | Clinic/Center | 3810 Ambassador Caffery Pkwy Ste 500, Lafayette, LA 70503-5266 | 2019-06-20 |
| 1104385095 | Injurymd, LLC | Clinic/Center | 1715 Marycrest Ave Ste 200, Shreveport, LA 71101-5074 | 2019-03-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ALVIN C MOREAU JR LICENSED.
| 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.