Physical TherapyIndex

Therapeutic by Design Fitness and Wellness, LLC

Physical therapy practice in Mandeville, LA

Registered providerLicense # listed (LA)

Call (985) 778-2282Send a messageMap ↗

Public-record details

Address
1901 Highway 190 Ste 26, Mandeville, LA 70448
Phone
(985) 778-2282
Listed under
Physical therapist practices
NPI
1790780120
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Physical Therapist (225100000X)
License number on NPI record
04964 (LA)
Authorized official
Jennifer Fabre Fairley, PT, PhD, CSCS, Member Manager
NPI first issued
Jun 13, 2005
Years since NPI first issued
21 years (since 2005)
License state on NPI record
LA
NPI record last updated
Sep 1, 2022
Listings under this organization name (nationwide)
1 (single location)

NPI 1790780120 is active in the federal NPPES registry (CMS) with Physical Therapist as its self-reported primary taxonomy; license 04964 (LA) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Physical Therapy Index does not vet, employ, recommend or guarantee physical therapy clinics; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Physical Therapy Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Physical therapy is provided by licensed physical therapists (PT, DPT) and, under their supervision, physical therapist assistants (PTA). Confirm each therapist's license with the state physical therapy board.

View NPI 1790780120 in the official registry ↗

Registered specialty is not a license check. Confirm the therapist's license with the state physical therapy board (FSBPT lists every board). Ask about referral rules for your plan, Medicare acceptance, visit length and who provides your care.

Other physical therapy clinics in Mandeville

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