| Iowa Therapy Group Llc | |
|
605 N Thompson Street, Iowa, LA 70647 | |
| (337) 582-4242 | |
| (337) 582-4245 |
| Full Name | Iowa Therapy Group Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 605 N Thompson Street, Iowa, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578617924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Provider Name | Mark Mullett |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629186135 PECOS PAC ID: 2769459189 Enrollment ID: I20040915000366 |
| Provider Name | Scott J Meche |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245218122 PECOS PAC ID: 9931139425 Enrollment ID: I20050815000740 |
| Provider Name | Raymond E Prince |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245259290 PECOS PAC ID: 9537175369 Enrollment ID: I20060302000297 |
| Provider Name | Kevin P Touchet |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396781001 PECOS PAC ID: 0446354302 Enrollment ID: I20070412000011 |
| Provider Name | Marilyn Arabie |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477599181 PECOS PAC ID: 5092810523 Enrollment ID: I20070412000016 |
| Provider Name | Daryl J Albro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184660896 PECOS PAC ID: 8628172582 Enrollment ID: I20070420000105 |
| Provider Name | Kristin R Quintela |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528372919 PECOS PAC ID: 0941334320 Enrollment ID: I20100820000500 |
| Provider Name | Heather H Nichols |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548496789 PECOS PAC ID: 7911021274 Enrollment ID: I20100824000714 |
| Provider Name | Shannon C Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740226471 PECOS PAC ID: 3577734839 Enrollment ID: I20110916000053 |
| Provider Name | Tad Landry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902152853 PECOS PAC ID: 7810147378 Enrollment ID: I20121019000120 |
| Provider Name | Mitchell R Talley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912343120 PECOS PAC ID: 5597906065 Enrollment ID: I20130725000418 |
| Provider Name | Mandy D Persick |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538416524 PECOS PAC ID: 5294025326 Enrollment ID: I20160602000765 |
| Provider Name | Jessie Broussard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558794065 PECOS PAC ID: 7911297452 Enrollment ID: I20160613000234 |
| Provider Name | Drew Soileau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215465182 PECOS PAC ID: 1254609852 Enrollment ID: I20170623000720 |
| Provider Name | Brandon Joseph Broussard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730704073 PECOS PAC ID: 9032531264 Enrollment ID: I20200617000731 |
| Provider Name | Casey Fitts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851902092 PECOS PAC ID: 2961829478 Enrollment ID: I20200828002555 |
| Provider Name | Roberta Boone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164197562 PECOS PAC ID: 8820493513 Enrollment ID: I20210818001643 |
| Provider Name | Madeline Stringfellow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053045971 PECOS PAC ID: 4981070075 Enrollment ID: I20221013003646 |
| Provider Name | Samuel Kullen Mancil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679271977 PECOS PAC ID: 6507239860 Enrollment ID: I20230307002252 |
| Provider Name | Harlie Lanae' Persing |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346945706 PECOS PAC ID: 9133584477 Enrollment ID: I20230420002040 |
| Provider Name | Matthew Q Ezernack |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912699547 PECOS PAC ID: 7911367776 Enrollment ID: I20230712002986 |
| Provider Name | David M Frank |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629818661 PECOS PAC ID: 5395288401 Enrollment ID: I20240618000658 |
| Provider Name | Ethan Rapp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366279903 PECOS PAC ID: 4284162819 Enrollment ID: I20250110001200 |
| Provider Name | Seth Matthew Boullion |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922983923 PECOS PAC ID: 3577066117 Enrollment ID: I20250910004264 |
| Provider Name | Cullen Ballard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891674628 PECOS PAC ID: 2769985290 Enrollment ID: I20250911002282 |
| Provider Name | Jacob P Hebert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134058654 PECOS PAC ID: 9739659053 Enrollment ID: I20260528001686 |
| Mailing Address | Practice Location Address |
|---|---|
| Iowa Therapy Group Llc 1322 Elton Rd, Suite I, Jennings, LA 70546-4138 Ph: (337) 824-5488 | Iowa Therapy Group Llc 605 N Thompson Street, Iowa, LA 70647 Ph: (337) 582-4242 |
Clinton Schaefer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 605 N Thomson Ave, Iowa, LA 70647 Phone: 337-824-5488 |