BAYOU STATE GROUP INC NPI 1174626279

NPI Information

  • NPI: 1174626279
  • Provider Name: BAYOU STATE GROUP INC
  • Classification: Physical Therapist - 2251N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 1021 E LAUREL STREET
    EUNICE, LA
    ZIP 70535
  • Phone: (337) 546-0101

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NPI Details

BAYOU STATE GROUP INC is a neurology physical therapist in Eunice, LA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology. BAYOU STATE GROUP INC NPI is 1174626279. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1021 E LAUREL STREET
EUNICE, LA
ZIP 70535
Phone: (337) 546-0101
Fax: (337) 546-0071

The provider's authorized official is Vickie Vaughn .
The authorized official title is Office Manager and has the following contact phone number (337) 546-0101.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251N0400XPhysical TherapistNeurology021809LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11448753MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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