Mr Michael Shane Castille, PT | |
2002 Johnson St, Ste. 100, Jennings, LA 70546-3646 | |
(337) 824-4547 | |
(337) 824-4548 |
Full Name | Mr Michael Shane Castille |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 2002 Johnson St, Jennings, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134274962 | NPI | - | NPPES |
1564508 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 03171 (Louisiana) | Primary |
Provider Name | Therapy Center Of Jefferson Davis Parish, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508971045 PECOS PAC ID: 0345207544 Enrollment ID: O20050120000627 |
Provider Name | Lemoine Therapy Services Of Cenla Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336242767 PECOS PAC ID: 4789635244 Enrollment ID: O20050202000579 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Shane Castille, PT 133 Equipment Ln, Carencro, LA 70520-5638 Ph: (337) 824-4547 | Mr Michael Shane Castille, PT 2002 Johnson St, Ste. 100, Jennings, LA 70546-3646 Ph: (337) 824-4547 |
Mrs. Claire T Cope, P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2002 Johnson St, Ste. 100, Jennings, LA 70546 Phone: 337-824-4547 Fax: 337-824-4548 | |
Casey D Villanueva, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2002 Johnson St Ste 100, Jennings, LA 70546 Phone: 337-824-4547 Fax: 337-824-4548 | |
Mrs. Monica L Bass, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2002 Johnson St, Ste. 100, Jennings, LA 70546 Phone: 337-824-4547 Fax: 337-824-4548 | |
Miss Alicia G Pruitt, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2002 Johnson St, Ste. 100, Jennings, LA 70546 Phone: 337-824-4547 Fax: 337-824-4548 | |
Thibodeaux, Albro & Touchet Therapy Group, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1322 Elton Rd, Suite I, Jennings, LA 70546 Phone: 337-824-5488 Fax: 337-824-5494 | |
Ms. Erin Nicole Raiford, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2002 Johnson St, Ste. 100, Jennings, LA 70546 Phone: 337-824-4547 Fax: 337-824-4548 |