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

Jared Trent Landry, DPT

Individual provider Physical Therapist · NPI 1013394907

Jared Trent Landry, DPT is a Physical Therapist in Private Practice in Lake Charles, Louisiana. Qualified in 2015, 11 years ago. Practices with Superior Spine and Sports Physical Therapy Inc, a 2-clinician group.

Years since qualifying
11
In the registry since
2015
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2100 Oak Park Blvd
Lake Charles, LA 70601-7864
Phone: (337) 310-5116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1013394907
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 30, 2015
Last updated in NPPESJuly 16, 2019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Superior Spine And Sports Physical Therapy Inc — 2 clinicians
Accepts Medicare assignment Not indicated

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