# MAXX THERAPY OF LAKE CHARLES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235953035
- **Authorized official:** LAUREN PITRE (DPT)
- **Authorized official phone:** (337) 508-2505

## Contact information

- **Practice address:** 1714 WOLF CIR, LAKE CHARLES, LA 70605-2353
- **Practice address phone:** (337) 508-2505
- **Practice address fax:** (337) 508-2506
- **Mailing address:** 1714 WOLF CIR, LAKE CHARLES, LA 70605-2353
- **Mailing address phone:** (337) 508-2505
- **Mailing address fax:** (337) 508-2506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/09/2024
- **Last updated:** 07/13/2026