| Lake Charles Sports & Rehab | |
|
4150 Nelson Rd Ste 1, Lake Charles, LA 70605-4148 | |
| (337) 824-5488 | |
| Not Available |
| Full Name | Lake Charles Sports & Rehab |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4150 Nelson Rd Ste 1, Lake Charles, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194301317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Scott J Meche |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245218122 PECOS PAC ID: 9931139425 Enrollment ID: I20050815000740 |
| Provider Name | Raymond E Prince |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245259290 PECOS PAC ID: 9537175369 Enrollment ID: I20060302000297 |
| Provider Name | Mitchell R Talley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912343120 PECOS PAC ID: 5597906065 Enrollment ID: I20130725000418 |
| Provider Name | Joshua Wiley Lebert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972982064 PECOS PAC ID: 8022320498 Enrollment ID: I20150629001269 |
| Provider Name | Brandon Joseph Broussard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730704073 PECOS PAC ID: 9032531264 Enrollment ID: I20200617000731 |
| Provider Name | Colin S Laughlin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154999316 PECOS PAC ID: 7315348802 Enrollment ID: I20210622000258 |
| Provider Name | Roberta Boone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164197562 PECOS PAC ID: 8820493513 Enrollment ID: I20210818001643 |
| Provider Name | Madeline Stringfellow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053045971 PECOS PAC ID: 4981070075 Enrollment ID: I20221013003646 |
| Provider Name | Samuel Kullen Mancil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679271977 PECOS PAC ID: 6507239860 Enrollment ID: I20230307002252 |
| Provider Name | Harlie Lanae' Persing |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346945706 PECOS PAC ID: 9133584477 Enrollment ID: I20230420002040 |
| Provider Name | Matthew Q Ezernack |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912699547 PECOS PAC ID: 7911367776 Enrollment ID: I20230712002986 |
| Provider Name | David M Frank |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629818661 PECOS PAC ID: 5395288401 Enrollment ID: I20240618000658 |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Charles Sports & Rehab 1322 Elton Rd Ste I, Jennings, LA 70546-4100 Ph: (337) 824-5488 | Lake Charles Sports & Rehab 4150 Nelson Rd Ste 1, Lake Charles, LA 70605-4148 Ph: (337) 824-5488 |
Jared Trent Landry, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2100 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-310-5116 | |
Alfie Dulap, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4430 Brown St Apt F, Lake Charles, LA 70607 Phone: 646-491-2718 | |
Moss Bluff Physical Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 867 Sam Houston Jones Pkwy, Lake Charles, LA 70611 Phone: 337-855-2600 Fax: 337-855-0015 | |
Tiffany Dipaolo, PT,DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605 Phone: 337-478-5880 | |
Prof. Jason W Adams, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1709 W Prien Lake Rd Ste B, Lake Charles, LA 70601 Phone: 337-474-5201 Fax: 337-474-5524 | |
Bayou Physical Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4112 Lake St Ste 600, Lake Charles, LA 70605 Phone: 337-602-8614 Fax: 225-282-2890 | |