| Superior Spine And Sports Physical Therapy Inc | |
|
5750 Lake Street, Suite 100, Lake Charles, LA 70605 | |
| (337) 513-7107 | |
| Not Available |
| Full Name | Superior Spine And Sports Physical Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5750 Lake Street, 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 |
|---|---|---|---|
| 1619681772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Jared T Landry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013394907 PECOS PAC ID: 5597086264 Enrollment ID: I20150605002098 |
| Provider Name | Kourtney K Ellis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093264269 PECOS PAC ID: 5496034480 Enrollment ID: I20161115001637 |
| Mailing Address | Practice Location Address |
|---|---|
| Superior Spine And Sports Physical Therapy Inc 5750 Lake Street, Suite 100, Lake Charles, LA 70605 Ph: () - | Superior Spine And Sports Physical Therapy Inc 5750 Lake Street, Suite 100, Lake Charles, LA 70605 Ph: (337) 513-7107 |
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 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 | |
Synergy Care Southeast Llc - Georgia Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 127 W Broad St, Lake Charles, LA 70601 Phone: 337-310-8500 Fax: 888-241-3028 |