Healthcare Provider Details

I. General information

NPI: 1841118270
Provider Name (Legal Business Name): MADELINE RICE PT,DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 N PINE ST
DERIDDER LA
70634
US

IV. Provider business mailing address

6326 NOLDAN PL APT C
FORT POLK LA
71459-3362
US

V. Phone/Fax

Practice location:
  • Phone: 337-202-0568
  • Fax: 337-485-5907
Mailing address:
  • Phone: 337-202-0568
  • Fax: 337-485-5907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11970R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: