Thrive Physical Therapy | |
4141 Common St, Lake Charles, LA 70607-4501 | |
(337) 990-5621 | |
(337) 990-5623 |
Full Name | Thrive Physical Therapy |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 4141 Common St, Lake Charles, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497004287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | 07331 (Louisiana) | Primary |
Provider Name | Elizabeth A Fontenot |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255514402 PECOS PAC ID: 3274618848 Enrollment ID: I20080306000227 |
Provider Name | Katherine C Prevost |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124308234 PECOS PAC ID: 5991972929 Enrollment ID: I20120116000135 |
Provider Name | Alexandra Elizabeth Widcamp |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154947497 PECOS PAC ID: 1759705601 Enrollment ID: I20200724000128 |
Provider Name | Nathaniel Perkins |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639789449 PECOS PAC ID: 2769808534 Enrollment ID: I20200811004127 |
Provider Name | Elena Marie Dimattia |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760057111 PECOS PAC ID: 6608278403 Enrollment ID: I20210716000209 |
Provider Name | Hannah C Miller |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114636248 PECOS PAC ID: 7416329701 Enrollment ID: I20230215000660 |
Provider Name | Alyssa Sonnier |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316698905 PECOS PAC ID: 3072973171 Enrollment ID: I20230721000183 |
Provider Name | Kyle Carter |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619669694 PECOS PAC ID: 0547614281 Enrollment ID: I20230928001327 |
Mailing Address | Practice Location Address |
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Thrive Physical Therapy 4141 Common St, Lake Charles, LA 70607-4501 Ph: (337) 990-5621 | Thrive Physical Therapy 4141 Common St, Lake Charles, LA 70607-4501 Ph: (337) 990-5621 |