Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cullen Ballard

Individual provider Physical Therapist · NPI 1891674628

Cullen Ballard is a Physical Therapist in Private Practice in Lake Charles, Louisiana. Qualified in 2025, 1 year ago. Practices with Lake Charles Sports and Rehab, a 2-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
1
Licensed in
LA
In the registry since
2025
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Practice location Address checks out

4150 Nelson Rd Ste 1
Lake Charles, LA 70605-4148
Phone: (337) 660-2996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12200 (LA)

Record details

NPI number1891674628
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 27, 2025
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025
Mailing address1322 Elton Rd Ste I, Jennings, LA 70546-4100

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Lake Charles Sports And Rehab — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Charles