| Prism Ii, Llc | |
|
740 Keyser Ave, Natchitoches, LA 71457-6037 | |
| (318) 214-0088 | |
| (318) 214-9009 |
| Full Name | Prism Ii, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 740 Keyser Ave, Natchitoches, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104140565 | NPI | - | NPPES |
| 1362630 | Medicaid | LA | |
| 1524069 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Provider Name | Richard L Guidroz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386700102 PECOS PAC ID: 9537175518 Enrollment ID: I20060307000033 |
| Provider Name | Warren J Weber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063694511 PECOS PAC ID: 2466618244 Enrollment ID: I20120723000806 |
| Provider Name | Joe F Bienvenu |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477705556 PECOS PAC ID: 4183675630 Enrollment ID: I20210128002126 |
| Provider Name | Riley Mccalister |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659929354 PECOS PAC ID: 2163836313 Enrollment ID: I20210128002392 |
| Mailing Address | Practice Location Address |
|---|---|
| Prism Ii, Llc 740 Keyser Ave, Natchitoches, LA 71457-6037 Ph: (318) 214-0088 | Prism Ii, Llc 740 Keyser Ave, Natchitoches, LA 71457-6037 Ph: (318) 214-0088 |
Lauren Peters Mitchell, PHYSICAL THERAPY Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 733 Keyser Ave Ste 100, Natchitoches, LA 71457 Phone: 318-238-4480 | |
Prism Center Natchitoches Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 740 Keyser Ave, Suite E, Natchitoches, LA 71457 Phone: 318-214-0088 Fax: 318-214-4493 | |
Mr. Luke Andrew Storrs, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 740 Keyser Ave, Suite E, Natchitoches, LA 71457 Phone: 318-214-0088 Fax: 318-214-9009 | |
Karen Vandersypen, Physical Therapist Medicare: Medicare Enrolled Practice Location: 733 Keyser Ave Ste 100, Natchitoches, LA 71457 Phone: 318-214-4296 | |
Move Sport Spine Physical Therapist Medicare: Medicare Enrolled Practice Location: 4133 University Pkwy, Natchitoches, LA 71457 Phone: 318-238-6683 Fax: 833-733-6683 | |
Cardarrius Murphy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 233 Sewanne St, Natchitoches, LA 71457 Phone: 318-228-7803 |