| Bourgeois Physical Therapy And Sports Rehab Llc | |
|
17135 Ronald Rd, Prairieville, LA 70769-4168 | |
| (225) 744-4878 | |
| (225) 744-4879 |
| Full Name | Bourgeois Physical Therapy And Sports Rehab Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 17135 Ronald Rd, Prairieville, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487063616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Christian B Bourgeois |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538348628 PECOS PAC ID: 5799857322 Enrollment ID: I20150304000666 |
| Provider Name | Kishan S Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376034884 PECOS PAC ID: 4981958725 Enrollment ID: I20181114003106 |
| Provider Name | Jason M Schexnayder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477914992 PECOS PAC ID: 8729336268 Enrollment ID: I20190726000068 |
| Provider Name | Rennie Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588267298 PECOS PAC ID: 7719390327 Enrollment ID: I20201228001428 |
| Provider Name | Kasey Moore Ware |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649609900 PECOS PAC ID: 1557739240 Enrollment ID: I20221130003458 |
| Provider Name | Devin S Speligene |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104562180 PECOS PAC ID: 9133593171 Enrollment ID: I20230315000128 |
| Provider Name | Brooke Constant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306526801 PECOS PAC ID: 5395193114 Enrollment ID: I20231204003043 |
| Mailing Address | Practice Location Address |
|---|---|
| Bourgeois Physical Therapy And Sports Rehab Llc 17135 Ronald Rd, Prairieville, LA 70769-4168 Ph: (225) 744-4878 | Bourgeois Physical Therapy And Sports Rehab Llc 17135 Ronald Rd, Prairieville, LA 70769-4168 Ph: (225) 744-4878 |
Abigail Hicks, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17094 Airline Hwy, Prairieville, LA 70769 Phone: 225-677-8400 Fax: 225-677-8484 | |
Mr. Christopher W Blackstone, P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17534 Old Jefferson Hwy, Suite A-1, Prairieville, LA 70769 Phone: 225-673-4370 Fax: 225-673-2241 | |
Moreau Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17534 Old Jefferson Hwy Ste A1, Prairieville, LA 70769 Phone: 225-673-4370 Fax: 225-673-2241 | |
Mr. Bradley Chapman, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17709 Old Jefferson Hwy Ste A, Prairieville, LA 70769 Phone: 225-677-8400 Fax: 225-677-8484 | |
Zachary Dean Truitt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 37390 Perkins Rd, Suite J, Prairieville, LA 70769 Phone: 225-677-5464 | |
Dr. Brandon Chase Roy, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 36501 Mission St, Ste A., Prairieville, LA 70769 Phone: 225-744-3631 | |
Mr. Cleveland Paul Melancon, PT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17609 Old Jefferson Hwy, Suite G, Prairieville, LA 70769 Phone: 225-673-0200 Fax: 225-673-0202 |