Therateam Outpatient Services, Llc | |
4615 Highway 80, Haughton, LA 71037-7441 | |
(318) 615-3003 | |
(318) 615-3004 |
Full Name | Therateam Outpatient Services, Llc |
---|---|
Type | Facility |
Speciality | Physical Therapist - Orthopedic |
Location | 4615 Highway 80, Haughton, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821333055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 04785 (Louisiana) | Primary |
Provider Name | Trenton B Shepherd |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093043622 PECOS PAC ID: 6406086149 Enrollment ID: I20140320001513 |
Provider Name | Jessica Celeste Granger |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942864582 PECOS PAC ID: 4385066786 Enrollment ID: I20200611002411 |
Provider Name | Nathan Clark |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932763570 PECOS PAC ID: 7315369204 Enrollment ID: I20200623001439 |
Provider Name | Lance Michael Danos |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1609480920 PECOS PAC ID: 7214356476 Enrollment ID: I20201007002767 |
Provider Name | Marietta S Shepherd |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063010148 PECOS PAC ID: 4082002720 Enrollment ID: I20211028001901 |
Provider Name | Cara J Adcock |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518216399 PECOS PAC ID: 1153710280 Enrollment ID: I20211111001447 |
Mailing Address | Practice Location Address |
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Therateam Outpatient Services, Llc 101 Isadore St, Natchitoches, LA 71457-5747 Ph: (318) 238-2810 | Therateam Outpatient Services, Llc 4615 Highway 80, Haughton, LA 71037-7441 Ph: (318) 615-3003 |
Jenny Ann Lewis, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3009 Sagefield Ln, Haughton, LA 71037 Phone: 318-617-9300 | |
Phillip Anthony Mckee Jr., P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5 Charleston Dr, Haughton, LA 71037 Phone: 318-549-3542 | |
Mrs. Robin Robbins House, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1151 Highway 614, Haughton, LA 71037 Phone: 318-949-9665 | |
Lance Danos, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4615 Us-80, #9, Haughton, LA 71037 Phone: 318-615-3003 |