Ellen Dean Pedeaux, PT, DPT
Physical Therapist in Bossier City, LA. Individual provider (NPI-1).
Details
- NPI
- 1962078709
- Entity type
- Individual (NPI-1)
- Name
- Ellen Dean Pedeaux
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2021
- Certification date
- Feb 1, 2024
- Last updated
- Feb 1, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 09898 | LA | Yes |
| 225100000X | Physical Therapist | – | – |
Other names
- Ellen Andries Dean (Former Name)
Practice location
4970 Barksdale Blvd Ste 900Bossier City, LA 71112-4677
Phone 318-747-8892 · Fax 318-747-8893
Mailing address
663 Jordan StShreveport, LA 71101-4748
Phone 318-222-8892 · Fax 318-222-8893
Other practice locations
Natchitoches, LA 71457-5709
Phone 318-210-6836
Shreveport, LA 71101-4748
Phone 318-222-8892 · Fax 318-222-8893
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 58 Physical Therapist providers in Bossier City · All 1,861 providers in Bossier City
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