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NPI Code Detail

MEDICARE: BAYOU SPECTRUM THERAPY, LLC

MEDICARE: BAYOU SPECTRUM THERAPY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
2225X00000XOccupational Therapist
3224ZF0002XFeeding, Eating & Swallowing Occupational Therapy Assistant
4225100000XPhysical Therapist
5103K00000XBehavior Analyst

General Provider Information

NPI Number : 1427928894
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAYOU SPECTRUM THERAPY, LLC
Provider Business Mailing Address
First Line : 2432 JEANNE ST
Second Line :
City : MARRERO
State : LA
Zip : 70072-6452
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 19 WESTPARK CT
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70114-8905
Country : US
Telephone Number : 504-758-7351
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DAVID GAINES
Credential :
Telephone Number : 504-758-7351
Provider Enumeration Date : 11/10/2025
Last Update Date : 11/11/2025

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Directions to “BAYOU SPECTRUM THERAPY, LLC ” Practice Location

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