Mitchell R Talley (NPI# 1912343120, PAC ID# 5597906065) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1912343120 |
| PAC ID by PECOS | 5597906065 |
| Professional Enrollment ID | I20130725000418 |
| Full Name | Mitchell R Talley |
| Organization Legal Name | SOUTHWEST LOUISIANA SPORTS AND REHABILITATION CENTER, LLC |
| Address |
208 W Mcneese St Lake Charles LA 70605-5638 |
| Phone Number | 3374751053 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 5890854434 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 720 N Ave K, Crowley, LA 70526-3849 | 3377837100 | THIBODEAUX, ALBRO AND TOUCHET THERAPY GROUP, LLC |
| 1322 Elton Rd, Suite 1, Jennings, LA 70546-4100 | 3378245488 | THIBODEAUX, ALBRO AND TOUCHET THERAPY GROUP, LLC |
| 208 W Mcneese St, Lake Charles, LA 70605-5638 | 3374751053 | SOUTHWEST LOUISIANA SPORTS AND REHABILITATION CENTER, LLC |
| 702 1st Ave, Sulphur, LA 70663-3423 | 3375282828 | SOUTHWEST LOUISIANA SPORTS AND REHABILITATION CENTER, LLC |
| Organization Legal Name | SOUTHWEST LOUISIANA SPORTS AND REHABILITATION CENTER, LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Drew Soileau | Physical Therapy | Southwest Louisiana Sports and Rehabilitation Center, LLC | 208 W Mcneese St, Lake Charles, LA 70605-5638 |
| Scott J Meche | Occupational Therapy | Southwest Louisiana Sports and Rehabilitation Center, LLC | 208 W Mcneese St, Lake Charles, LA 70605-5638 |
| Raymond E Prince Jr. | Physical Therapy | Southwest Louisiana Sports and Rehabilitation Center, LLC | 208 W Mcneese St, Lake Charles, LA 70605-5638 |
| Mark Mullett | Occupational Therapy | Southwest Louisiana Sports and Rehabilitation Center, LLC | 208 W Mcneese St, Lake Charles, LA 70605-5638 |
| Tad Landry | Physical Therapy | Southwest Louisiana Sports and Rehabilitation Center, LLC | 208 W Mcneese St, Lake Charles, LA 70605-5638 |
| Joshua Wiley Lebert | Physical Therapy | Southwest Louisiana Sports and Rehabilitation Center, LLC | 208 W Mcneese St, Lake Charles, LA 70605-5638 |
| Danielle Nester Faulk | Occupational Therapy | Southwest Louisiana Sports and Rehabilitation Center, LLC | 208 W Mcneese St, Lake Charles, LA 70605-5638 |
| Street Address |
208 W MCNEESE ST |
| City | LAKE CHARLES |
| State | LA |
| Zip | 70605-5638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Drew Soileau | Physical Therapy | Southwest Louisiana Sports and Rehabilitation Center, LLC | 208 W Mcneese St, Lake Charles, LA 70605-5638 |
| Scott J Meche | Occupational Therapy | Southwest Louisiana Sports and Rehabilitation Center, LLC | 208 W Mcneese St, Lake Charles, LA 70605-5638 |
| Raymond E Prince Jr. | Physical Therapy | Southwest Louisiana Sports and Rehabilitation Center, LLC | 208 W Mcneese St, Lake Charles, LA 70605-5638 |
| Mark Mullett | Occupational Therapy | Southwest Louisiana Sports and Rehabilitation Center, LLC | 208 W Mcneese St, Lake Charles, LA 70605-5638 |
| Tad Landry | Physical Therapy | Southwest Louisiana Sports and Rehabilitation Center, LLC | 208 W Mcneese St, Lake Charles, LA 70605-5638 |
| Joshua Wiley Lebert | Physical Therapy | Southwest Louisiana Sports and Rehabilitation Center, LLC | 208 W Mcneese St, Lake Charles, LA 70605-5638 |
| Danielle Nester Faulk | Occupational Therapy | Southwest Louisiana Sports and Rehabilitation Center, LLC | 208 W Mcneese St, Lake Charles, LA 70605-5638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shondra L Smith | Dermatology | Shondra L. Smith, Md | 3635 Nelson Rd, Dermatology and Advanced Aesthetics, Lake Charles, LA 70605-1213 |
| Jill A Conner | Nurse Practitioner | Shondra L. Smith, Md | 3635 Nelson Rd, Dermatology and Advanced Aesthetics, Lake Charles, LA 70605-1213 |
| Savannah Guidry | Physician Assistant | Shondra L. Smith, Md | 3635 Nelson Rd, Lake Charles, LA 70605-1213 |
| Lisa J Brune | Clinical Social Worker | 900 Contraband Ln, Lake Charles, LA 70605-1435 | |
| Shaine E Rider | Chiropractic | 601 W College St, Lake Charles, LA 70605-1521 | |
| Kara A Headington | Qualified Audiologist | Imperial Health LLP | 1615 Wolf Circle, Lake Charles, LA 70605-2348 |
| Tara Barnes | Nurse Practitioner | Center for Neurosurgical and Spine Disorders, LLC | 1614 Wolf Circle, Lake Charles, LA 70605-2348 |
| Charles Speights | Emergency Medicine | 1615 Wolf Cir, Suite B, Lake Charles, LA 70605-2348 | |
| Geoffrey J Collins | Orthopedic Surgery | Collins Orthopaedics LLC | 1625 Wolf Circle, Lake Charles, LA 70605-2348 |
| Kimberly Ann Belanger | Nurse Practitioner | Center for Neurosurgical and Spine Disorders, LLC | 1614 Wolf Circle, Lake Charles, LA 70605-2348 |
| Find all physicians in zip 70605 | |||
| City | LAKE CHARLES |
| Zip Code | 70605 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | LAKE CHARLES + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.