# PHYSICAL THERAPY CLINIC OF LAFAYETTE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PHYSICAL THERAPY CLINIC OF LAFAYETTE, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114471612
- **Legal business name:** PHYSICAL THERAPY CLINIC OF LAFAYETTE, INC
- **Authorized official:** MR. CHRISTOPHER J BARRAS SR. PHYSICAL THERAPIST (PRESIDENT)
- **Authorized official phone:** (337) 232-7080

## Contact information

- **Practice address:** 4809 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-8800
- **Practice address phone:** (337) 232-7080
- **Practice address fax:** (337) 237-2517
- **Mailing address:** PO BOX 52021, LAFAYETTE, LA 70505-2021
- **Mailing address phone:** (337) 232-7080
- **Mailing address fax:** (337) 237-2517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 00056 | LA | — |
| 225100000X | Physical Therapist | 00151 | LA | — |
| 225100000X | Physical Therapist | 00300 | LA | Yes |
| 225100000X | Physical Therapist | 00521 | LA | — |
| 225X00000X | Occupational Therapist | Z11352 | LA | — |
| 225XH1200X | Hand Occupational Therapist | Z11352 | LA | — |
| 235Z00000X | Speech-Language Pathologist | 1176 | LA | — |

## Other

- **Enumeration date:** 08/12/2016
- **Last updated:** 08/31/2016