Organization
BEAUREGARD PHYSICAL THERAPY CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMEY JEROME JOHNSON MPT (OWNER/PRESIDENT/PHYSICAL THERAPIST)
(337) 462-6097
Entity
Organization
Contact information
Practice address
309 S WASHINGTON ST, DERIDDER, LA 70634-4861
(337) 462-6097
(337) 462-0531
Mailing address
309 S WASHINGTON ST, DERIDDER, LA 70634-4861
(337) 462-6097
(337) 462-0531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT06472
LA PHYSICAL THERAPY BOARD
LA
Enumeration date
04/17/2008
Last updated
07/18/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up