Jaimie Marie Vacha, PT - Physical Therapist in Shreveport, LA

Jaimie Marie Vacha, PT is a Physical Therapist based in Shreveport, Louisiana. Jaimie Marie Vacha is licensed to practice in Nebraska (license number CP002604T) and her current practice location is 1800 Buckner St Ste C249, Shreveport, Louisiana. She can be reached at her office (for appointments etc.) via phone at (318) 934-1969.

NPI number for Jaimie Marie Vacha is 1821595927 and her current mailing address is 101 E State St, Kennett Square, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821595927.

Contact Information

Jaimie Marie Vacha, PT
1800 Buckner St Ste C249,
Shreveport, LA 71101-4447
(318) 934-1969
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJaimie Marie Vacha
GenderFemale
SpecialityPhysical Therapist
Location1800 Buckner St Ste C249, Shreveport, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1821595927
  • Provider Enumeration Date: 04/06/2018
  • Last Update Date: 07/27/2020

Medical Identifiers

Medical identifiers for Jaimie Marie Vacha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821595927NPI-NPPES
2317687MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 09162R (Louisiana)Secondary
225100000XPhysical Therapist CP002604T (Nebraska)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaimie Marie Vacha is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jaimie Marie Vacha, PT
101 E State St,
Kennett Square, PA 19348-3109

Ph: (531) 389-4223
Jaimie Marie Vacha, PT
1800 Buckner St Ste C249,
Shreveport, LA 71101-4447

Ph: (318) 934-1969

Reviews and Comments


Physical Therapist in Shreveport, LA

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