# ORTHOPEDIC & SPORTS PHYSICAL THERAPY CLINIC OF LAFAYETTE INC

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

## Provider details

- **NPI number:** 1376622365
- **Authorized official:** MR. DAVID WILLIAM HITE PT CERT MDT (PRESIDENT)
- **Authorized official phone:** (337) 232-5301

## Contact information

- **Practice address:** 245 N COLLEGE RD, LAFAYETTE, LA 70506-4230
- **Practice address phone:** (337) 232-5301
- **Practice address fax:** (337) 237-6504
- **Mailing address:** 245 N COLLEGE RD, LAFAYETTE, LA 70506-4230
- **Mailing address phone:** (337) 232-5301
- **Mailing address fax:** (337) 237-6504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 00497 | LA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 04/22/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 23538 | BLUE CROSS BLUE SHIELD | — |
| 01 | — | 650018362 | RR RETIREMENT MEDICARE | — |