| Mr Mark T Cheralla, MPT, LOTR | |
|
7936 Office Park Blvd, Suite B, Baton Rouge, LA 70809 | |
| (225) 201-0002 | |
| (225) 201-0040 |
| Full Name | Mr Mark T Cheralla |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 23 Years |
| Location | 7936 Office Park Blvd, Baton Rouge, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083647127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 06302 (Louisiana) | Secondary |
| 225X00000X | Occupational Therapist | OTTZ12348 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Renew Physical Therapy, Llc | 9234227919 | 5 |
| Provider Name | Renew Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1699967992 PECOS PAC ID: 9234227919 Enrollment ID: O20071113000661 |
| Provider Name | Peak Performance Physical Therapy Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1770166886 PECOS PAC ID: 0446651178 Enrollment ID: O20210701000709 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark T Cheralla, MPT, LOTR 7936 Office Park Blvd, Suite B, Baton Rouge, LA 70809 Ph: (225) 201-0002 | Mr Mark T Cheralla, MPT, LOTR 7936 Office Park Blvd, Suite B, Baton Rouge, LA 70809 Ph: (225) 201-0002 |
Mr. Don E Gulczynski, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8768 Quarters Lake Rd, Baton Rouge, LA 70809 Phone: 225-752-3330 Fax: 225-752-0888 | |
Neurotherapy Specialists Inc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11140 N Harrells Ferry Rd, Baton Rouge, LA 70816 Phone: 225-272-0150 Fax: 225-275-0930 | |
Shelby Wells Brown, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 S Foster Dr, Baton Rouge, LA 70806 Phone: 225-922-5400 | |
Mikaela Lynn Medica, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9063 Siegen Ln Ste A, Baton Rouge, LA 70810 Phone: 225-294-1600 | |
Moreau Physical Therapy Inc. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11424 Sullivan Rd, Bldg C, Suite A, Baton Rouge, LA 70818 Phone: 225-267-7021 Fax: 225-262-1826 | |
Mrs. Kourtney Leigh Dunbar, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 S Foster Dr, Baton Rouge, LA 70806 Phone: 225-922-5400 | |
Thileasea Gauthier, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7414 Sumrall Dr, Baton Rouge, LA 70812 Phone: 225-767-2034 |