Provider Demographics
NPI:1336232925
Name:PARTNERS IN PHYSICAL THERAPY
Entity Type:Organization
Organization Name:PARTNERS IN PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FREDDIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:REGAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:337-439-3344
Mailing Address - Street 1:3221 RYAN ST.
Mailing Address - Street 2:SUITE D
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601
Mailing Address - Country:US
Mailing Address - Phone:337-439-3344
Mailing Address - Fax:337-439-3380
Practice Address - Street 1:3221 RYAN ST.
Practice Address - Street 2:SUITE D
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601
Practice Address - Country:US
Practice Address - Phone:337-439-3344
Practice Address - Fax:337-439-3380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4H833Medicare PIN
LA5CU12Medicare PIN
LA5T854Medicare PIN
LA4H968Medicare PIN