| Bayou Physical Therapy, Llc | |
|
4112 Lake St # 600, Lake Charles, LA 70605-4306 | |
| (337) 602-8614 | |
| (225) 282-2890 |
| Full Name | Bayou Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4112 Lake St # 600, 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 |
|---|---|---|---|
| 1043726631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| Provider Name | Chad E Ardoin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831602606 PECOS PAC ID: 9436186251 Enrollment ID: I20050725000116 |
| Provider Name | Cassie Dingler Gage |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821596818 PECOS PAC ID: 0840553475 Enrollment ID: I20180413000469 |
| Provider Name | Jason Randall Spooner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922513027 PECOS PAC ID: 6305109232 Enrollment ID: I20180413000955 |
| Mailing Address | Practice Location Address |
|---|---|
| Bayou Physical Therapy, Llc 4112 Lake St Ste 600, Lake Charles, LA 70605-4532 Ph: (337) 602-8614 | Bayou Physical Therapy, Llc 4112 Lake St # 600, Lake Charles, LA 70605-4306 Ph: (337) 602-8614 |
Jared Trent Landry, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2100 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-310-5116 | |
Alfie Dulap, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4430 Brown St Apt F, Lake Charles, LA 70607 Phone: 646-491-2718 | |
Moss Bluff Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 867 Sam Houston Jones Pkwy, Lake Charles, LA 70611 Phone: 337-855-2600 Fax: 337-855-0015 | |
Tiffany Dipaolo, PT,DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605 Phone: 337-478-5880 | |
Prof. Jason W Adams, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1709 W Prien Lake Rd Ste B, Lake Charles, LA 70601 Phone: 337-474-5201 Fax: 337-474-5524 | |
Synergy Care Southeast Llc - Georgia Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 127 W Broad St, Lake Charles, LA 70601 Phone: 337-310-8500 Fax: 888-241-3028 |