Dr. Blaine Michael Theodos
Dr. Blaine Michael Theodos is a Physical Therapist in Private Practice in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2026.
- Licensed in
- LA
- In the registry since
- 2026
Practice location Address checks out
663 Jordan StShreveport, LA 71101-4748
Phone: (318) 222-8892
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 12329 (LA) |
|---|
Record details
| NPI number | 1730019720 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 21, 2026 |
| Last updated in NPPES | May 22, 2026 |
| Certification date | May 22, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2026 (0 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Shreveport
-
Studio P3, LLC
266 Ockley Dr, Shreveport, LA 71105-3025 · (337) 580-0083
-
Magdalene Sumlin
663 Jordan St, Shreveport, LA 71101-4748 · (318) 222-8892
-
Lauren Szot, PT
1501 Kings Hwy Rehabilitative Services, Shreveport, LA 71103-4228 · (318) 675-5000
-
Laura Caldwell Taylor, PT
663 Jordan St, Shreveport, LA 71101-4748 · (318) 222-8892
-
Samantha Thiemann, PT, DPT
510 E Stoner Ave, Shreveport, LA 71101-4243 · (318) 221-8411
-
John Wesley Thompson IV, DPT
1450 Claiborne Ave, Shreveport, LA 71103-4204 · (318) 813-2962
-
Mrs. Valerie Taylor Thompson, PT, DPT
1500 Line Ave, Shreveport, LA 71101-4639 · (318) 213-3778
-
Mr. Dwight A Tietjen Jr., PT
4801 Crescent Dr, Shreveport, LA 71106-1807 · (318) 464-0553