| St. John Physical Therapy, Llc | |
|
504 Rue De Sante, La Place, LA 70068-5418 | |
| (985) 652-9515 | |
| (985) 652-8675 |
| Full Name | St. John Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 504 Rue De Sante, La Place, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225242324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Derward T. Norsworthy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134221591 PECOS PAC ID: 3476698879 Enrollment ID: I20110125000848 |
| Mailing Address | Practice Location Address |
|---|---|
| St. John Physical Therapy, Llc 504 Rue De Sante, La Place, LA 70068-5418 Ph: (985) 652-9515 | St. John Physical Therapy, Llc 504 Rue De Sante, La Place, LA 70068-5418 Ph: (985) 652-9515 |
Mr. Charles Thomas Tyner, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 W Airline Hwy, Suite 104, La Place, LA 70068 Phone: 985-653-9242 Fax: 985-653-9324 | |
Tanyia Stevens Tregre, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 133 Oakridge Dr, La Place, LA 70068 Phone: 504-559-3760 | |
Ms. Karen Marie Robinson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 Sawgrass Dr, La Place, LA 70068 Phone: 985-817-0086 | |
Christopher John Cancienne, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 504 Rue De Sante, La Place, LA 70068 Phone: 985-652-9515 Fax: 985-652-8675 | |
Derward Norsworthy, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 504 Rue De Sante, La Place, LA 70068 Phone: 985-652-9515 | |
Genevieve F Borne, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 504 Rue De Sante, La Place, LA 70068 Phone: 985-652-9515 Fax: 985-652-8675 | |
Donald Larry Savoie Iii, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 607 Belle Terre Blvd Ste B, La Place, LA 70068 Phone: 985-359-5483 Fax: 985-359-5484 |