Mr Mark T Cheralla, MPT, LOTR | |
7936 Office Park Blvd, Suite B, Baton Rouge, LA 70809 | |
(225) 201-0002 | |
(225) 201-0040 |
Full Name | Mr Mark T Cheralla |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 22 Years |
Location | 7936 Office Park Blvd, Baton Rouge, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083647127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 06302 (Louisiana) | Secondary |
225X00000X | Occupational Therapist | OTTZ12348 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Renew Physical Therapy, Llc | 9234227919 | 6 |
Provider Name | The Physcial Therapy Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649203787 PECOS PAC ID: 6002703121 Enrollment ID: O20040303000478 |
Provider Name | Renew Physical Therapy, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1699967992 PECOS PAC ID: 9234227919 Enrollment ID: O20071113000661 |
Provider Name | Peak Performance Physical Therapy Limited Partnership |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1770166886 PECOS PAC ID: 0446651178 Enrollment ID: O20210701000709 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark T Cheralla, MPT, LOTR 7936 Office Park Blvd, Suite B, Baton Rouge, LA 70809 Ph: (225) 201-0002 | Mr Mark T Cheralla, MPT, LOTR 7936 Office Park Blvd, Suite B, Baton Rouge, LA 70809 Ph: (225) 201-0002 |
Mr. Don E Gulczynski, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8768 Quarters Lake Rd, Baton Rouge, LA 70809 Phone: 225-752-3330 Fax: 225-752-0888 | |
Shelby Wells Brown, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 S Foster Dr, Baton Rouge, LA 70806 Phone: 225-922-5400 | |
Mrs. Kourtney Leigh Dunbar, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 S Foster Dr, Baton Rouge, LA 70806 Phone: 225-922-5400 | |
Thileasea Gauthier, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7414 Sumrall Dr, Baton Rouge, LA 70812 Phone: 225-767-2034 | |
Kirk Wharton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3311 Shadow Hill Dr, Baton Rouge, LA 70816 Phone: 504-250-4172 | |
Meghan C Poche, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18268 Petroleum Dr, Baton Rouge, LA 70809 Phone: 225-292-4138 Fax: 225-292-4142 | |
Staci Chambley, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 S Foster Dr, Baton Rouge, LA 70806 Phone: 225-922-5400 |