Trent M Andre (NPI# 1053966192, PAC ID# 8527490200) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1053966192 |
| PAC ID by PECOS | 8527490200 |
| Professional Enrollment ID | I20191119000317 |
| Full Name | Trent M Andre |
| Organization Legal Name | CORE PHYSICAL THERAPY AND PERFORMANCE LLC |
| Address |
460 Ashley Ridge Blvd Suite 800 Shreveport LA 71106-7238 |
| Phone Number | 3188686172 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4688974843 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 460 Ashley Ridge Blvd, Suite 800, Shreveport, LA 71106-7238 | 3188686172 | CORE PHYSICAL THERAPY AND PERFORMANCE LLC |
| Organization Legal Name | CORE PHYSICAL THERAPY AND PERFORMANCE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brennan A Bernard | Physical Therapy | Core Physical Therapy and Performance LLC | 460 Ashley Ridge Blvd, Suite 800, Shreveport, LA 71106-7238 |
| Street Address |
460 ASHLEY RIDGE BLVD SUITE 800 |
| City | SHREVEPORT |
| State | LA |
| Zip | 71106-7238 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine F Vanderloos | Obstetrics/gynecology | 460 Ashley Ridge Blvd, Suite 200, Shreveport, LA 71106-7236 | |
| Russell W Tynes | Internal Medicine | 460 Ashley Ridge Blvd, Suite 500, Shreveport, LA 71106-7238 | |
| Brennan A Bernard | Physical Therapy | Core Physical Therapy and Performance LLC | 460 Ashley Ridge Blvd, Suite 800, Shreveport, LA 71106-7238 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kamal A Masri | Internal Medicine | 3801 Creswell Ave, Unit 19, Shreveport, LA 71106-1257 | |
| Michael D Pickering | Optometry | Eye Care, Inc | 5848 Line Ave, Shreveport, LA 71106-1532 |
| Carla Carter | Optometry | Eye Care, Inc | 5848 Line Ave, Shreveport, LA 71106-1532 |
| Jessica K Lantz | Optometry | Eye Care, Inc | 5848 Line Ave, Shreveport, LA 71106-1532 |
| Robert Newton Schwendimann | Neurology | Remote Neuromonitoring Physicians PC | 751 Oneonta St, Shreveport, LA 71106-1623 |
| Kelly A Yerger | Nurse Practitioner | 910 Pierremont Rd, Suite 234, Shreveport, LA 71106-2058 | |
| Lindsey A Pennington | Otolaryngology | 6030 Line Ave, Suite 110, Shreveport, LA 71106-2073 | |
| Tiffany A Jennings | Psychologist, Clinical | 920 Pierremont Rd, Suite 205, Shreveport, LA 71106-2093 | |
| Brandy Morgan Stroud | Clinical Social Worker | Interactional Services, Inc | 707 Southfield Rd, Shreveport, LA 71106-2219 |
| Linda I Grayson | Clinical Social Worker | Interactional Services, Inc | 707 Southfield Rd, Shreveport, LA 71106-2219 |
| Find all physicians in zip 71106 | |||
| City | SHREVEPORT |
| Zip Code | 71106 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SHREVEPORT + 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.