Mrs Nicole Marie Fabre, DPT | |
4171 Hwy 1 S. Ste 10, Port Allen, LA 70767 | |
(225) 416-0333 | |
(225) 416-0332 |
Full Name | Mrs Nicole Marie Fabre |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 17 Years |
Location | 4171 Hwy 1 S. Ste 10, Port Allen, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902076649 | NPI | - | NPPES |
721512274 | Other | LA | TAX ID |
1693081 | Medicaid | LA | |
2520423 | Medicaid | LA | |
721342481 | Other | LA | TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 07341 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Westside Physical Therapy Llc | 5991030801 | 3 |
Provider Name | Westside Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922666551 PECOS PAC ID: 5991030801 Enrollment ID: O20190716000158 |
Mailing Address | Practice Location Address |
---|---|
Mrs Nicole Marie Fabre, DPT 4171 Hwy 1 S. Ste 10, Port Allen, LA 70767 Ph: (225) 416-0333 | Mrs Nicole Marie Fabre, DPT 4171 Hwy 1 S. Ste 10, Port Allen, LA 70767 Ph: (225) 416-0333 |
Mr. Arthur James Wilson Iv, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4171 Hwy 1 S. Ste 10, Port Allen, LA 70767 Phone: 225-416-0333 Fax: 225-416-0332 | |
Haley Fontenot Leblanc, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4463 Hwy 1 S Ste D, Port Allen, LA 70767 Phone: 225-749-8980 Fax: 225-749-9096 | |
Westside Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4171 Hwy 1 S., Ste 10, Port Allen, LA 70767 Phone: 225-416-0333 Fax: 225-416-0332 |