Healthcare Provider Details

I. General information

NPI: 1508773060
Provider Name (Legal Business Name): PEDIACARE THERAPY SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 RODERICK ST
MORGAN CITY LA
70380-2247
US

IV. Provider business mailing address

147 RUE ST RACHEL
HOUMA LA
70360-5959
US

V. Phone/Fax

Practice location:
  • Phone: 985-226-8988
  • Fax:
Mailing address:
  • Phone: 985-226-8988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. JUDITH FEROLIN ROGER
Title or Position: PHYSICAL THERAPIST
Credential: PT
Phone: 985-226-8988