Mary Grace Jordan Douglas, PT
NPI 1639783822ActiveIndividual· Physical Therapist· Belle Chasse, LA
Physical Therapist (PT) in Belle Chasse, Louisiana, licensed in LA, with an NPI issued in September 2020. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1639783822 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | Sep 3, 2020 |
| Last updated in NPPES | Mar 23, 2022 |
| Certified by provider | Mar 23, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 10836F | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (HI) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
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All 16 physical therapists in Belle Chasse · All physical therapists in Louisiana