MARY BETH CHURBOCK (NPI# 1134501927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134501927 |
| Entity Type | Individual |
| Full Name | MARY BETH CHURBOCK |
| Credential | PT |
| Practice Address |
308 Sidney Martin Rd Room 174 Lafayette LA 70507-4544 |
| Mailing Address |
2002 Johnson St Suite 100 Jennings LA 70546-3640 |
| Practice Telephone | 3372333665 |
| Mailing Telephone | 3378244547 |
| Mailing Fax Number | 3378244548 |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 00325 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
308 SIDNEY MARTIN RD ROOM 174 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70507-4544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689728578 | Lauren L Mccraine | Occupational Therapist | 308 Sidney Martin Rd, Room 174, Lafayette, LA 70507-4544 | 2007-01-22 |
| 1871962373 | Denise B Mccann | Occupational Therapist | 308 Sidney Martin Rd, Room 174, Lafayette, LA 70507-4544 | 2015-09-15 |
| 1568848711 | Camille Deshotel Manuel | Occupational Therapist | 308 Sidney Martin Rd, Room 174, Lafayette, LA 70507-4544 | 2015-08-10 |
| 1689079857 | Jennifer Guidry | Physical Therapist | 308 Sidney Martin Rd, Room 174, Lafayette, LA 70507-4544 | 2014-10-29 |
| 1851790166 | Ryan Borges | Physical Therapist | 308 Sidney Martin Rd, Lafayette, LA 70507-4544 | 2014-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043724107 | Danielle Bias | Counselor | 106 Smalley Rd, Lafayette, LA 70507 | 2017-11-28 |
| 1720505076 | Amy C Rochon | Counselor | 315 Amesbury Drive, Apt 292, Lafayette, LA 70507 | 2017-08-28 |
| 1174045504 | Mia Collins | Case Manager/Care Coordinator | 315 Amesbury Dr Apt 357, Lafayette, LA 70507 | 2017-07-07 |
| 1942739792 | Precious Charles | Counselor | 200 Buttercup Dr Apt 613, Lafayette, LA 70507 | 2017-06-06 |
| 1346633831 | Minute Med Clinic - Pont De Mouton LLC | Clinic/Center | 104 Banister Court, Suite 1c, Lafayette, LA 70507 | 2015-03-09 |
| 1134559578 | Britt Elliott Martin | Pharmacist | 920 West Gloria Switch Road, Lafayette, LA 70507 | 2013-11-21 |
| 1801130877 | Barney Joseph Fusilier Jr. | Pharmacist | 920 W. Gloria Switch Rd., Walgreens, Lafayette, LA 70507 | 2012-11-15 |
| 1508140773 | Joseph Kenneth Vizena | Pharmacist | 3754 Moss Street, Lafayette, LA 70507 | 2011-10-05 |
| 1629177399 | Kevin Lyle Francois | Pharmacist | 3803-f Moss St, Lafayette, LA 70507 | 2006-09-21 |
| 1821024563 | Vermilion Hospital LLC | Psychiatric Hospital | 2520 N. University Ave, Lafayette, LA 70507 | 2006-06-24 |
| Find all providers in zip 70507 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992342901 | Sol Shine Physical Therapy LLC | Physical Therapist | 420 Strathmore Ln Apt 104, Lafayette, CO 80026-2164 | 2019-12-09 |
| 1952948663 | Sri Satya P Medidhi | Physical Therapist | 325 Oil Center Dr, Lafayette, LA 70503-2419 | 2019-12-02 |
| 1639735871 | Christopher K Primeaux | Physical Therapist | 110 Hermitage Ave, Lafayette, LA 70503-6626 | 2019-05-14 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1932666419 | Jonah Mason Johnson | Physical Therapist | 701 Robley Dr Ste 135, Lafayette, LA 70503-5223 | 2019-02-21 |
| 1215407556 | Accelerated Rehabiliation Centers Ltd | Physical Therapist | 210 S Creasy Ln Ste 2160, Lafayette, IN 47905-0763 | 2018-11-29 |
| 1235605882 | Angela Bailey | Physical Therapist | 2592 Stonewall Ln, Lafayette, CO 80026-3471 | 2018-10-22 |
| 1598249351 | Rachel Wernke | Physical Therapist | 401 N College Rd Ste 1b, Lafayette, LA 70506-4263 | 2018-09-18 |
| 1760971121 | Tonya D Creasy | Physical Therapist | 505 Ellington Dr Ste A, Lafayette, TN 37083-1074 | 2018-05-01 |
| 1659885903 | Casey Nolen | Physical Therapist | 2727 Kaliste Saloom Rd Ste 101, Lafayette, LA 70508-7164 | 2017-11-24 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.