| Beauregard Physical Therapy Clinic, Inc | |
|
309 S Washington St, Deridder, LA 70634-4861 | |
| (337) 462-6097 | |
| (337) 462-0531 |
| Full Name | Beauregard Physical Therapy Clinic, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 309 S Washington St, Deridder, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003080367 | NPI | - | NPPES |
| PT06472 | Other | LA | LA PHYSICAL THERAPY BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Jamey J Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881653632 PECOS PAC ID: 7810212693 Enrollment ID: I20150219001636 |
| Provider Name | Mason W Shaw |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245800051 PECOS PAC ID: 8820491376 Enrollment ID: I20210722000059 |
| Mailing Address | Practice Location Address |
|---|---|
| Beauregard Physical Therapy Clinic, Inc 309 S Washington St, Deridder, LA 70634-4861 Ph: (337) 462-6097 | Beauregard Physical Therapy Clinic, Inc 309 S Washington St, Deridder, LA 70634-4861 Ph: (337) 462-6097 |
West Louisiana Health Services Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 600 S Pine St, Deridder, LA 70634 Phone: 337-462-7409 Fax: 337-462-7479 | |
Mr. Mason Shaw, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 309 S Washington St, Deridder, LA 70634 Phone: 337-462-6097 Fax: 337-462-0531 | |
Premier Performance Physical Therapy And Sports Rehab Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 243 E 1st St, Deridder, LA 70634 Phone: 936-465-6282 | |
Bloom Therapy Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1103 Walnut St, Deridder, LA 70634 Phone: 337-202-0568 | |
Ljr Therapy Services, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 614 N Pine St, Deridder, LA 70634 Phone: 337-396-4071 | |
Dr. Russell Warren Hearne, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 192 Highway 3226, Deridder, LA 70634 Phone: 936-465-6282 |