MEDICARE: IN-HOME 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
1	225X00000X	Occupational Therapist	Z12105	LA
2	225100000X	Physical Therapist	PT04339	LA

General Provider Information

NPI Number	:	1457360810
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IN-HOME THERAPY LLC

Provider Business Mailing Address
First Line	:	305 FIELD CREST PKWY
Second Line	:
City	:	YOUNGSVILLE
State	:	LA
Zip	:	70592-5663
Country	:	US
Telephone Number	:	337-257-9755
Fax Number	:

Provider Business Practice Location Address
First Line	:	305 FIELD CREST PKWY
Second Line	:
City	:	YOUNGSVILLE
State	:	LA
Zip	:	70592-5663
Country	:	US
Telephone Number	:	337-257-9755
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PROF. BRANDON PAUL BERTRAND
Credential	:	PT
Telephone Number	:	337-257-9755

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	09/11/2025

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