{"npi":"1336716844","type":"NPI-2","status":"active","name":{"display":"Thibodaux Physical Therapy LLC","other":[],"organization_name":"THIBODAUX PHYSICAL THERAPY LLC","authorised_official":"Craig Pate"},"specialty":{"primary_taxonomy":"208100000X","primary_taxonomy_description":"Physical Medicine & Rehabilitation","slug":"physical-medicine-rehabilitation","schema_org_specialty":"Musculoskeletal","all":[{"code":"208100000X","description":"Physical Medicine & Rehabilitation","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"104 E BAYOU RD STE C","city":"THIBODAUX","state":"LA","postal_code":"703013036","country_code":"US","phone":"9854463736","fax":"9854463701"},{"purpose":"MAILING","street_1":"104 E BAYOU RD STE C","city":"THIBODAUX","state":"LA","postal_code":"703013036","country_code":"US","phone":"9854463736","fax":"9854463701"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20210823000460","type_code":"12-65","type_desc":"PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRIVATE PRACTICE","state":"LA","pac_id":"6103221627"}]},"enumeration_date":"2021-06-04","last_updated":"2021-06-04","_meta":{"source":"NPPES","snapshot_date":"2021-06-04","doc_url":"https://findmynpi.com/api"}}