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

Mary K Deranger, PT

Individual provider Occupational Therapist · NPI 1255565545

Mary K Deranger, PT is a Physical Therapist in Private Practice in Zachary, Louisiana. Qualified in 2009, 17 years ago. Practices with Moreau Physical Therapy Inc, a 81-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
17
Licensed in
LA
In the registry since
2009
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2335 Church St Ste G
Zachary, LA 70791-2700
Phone: (225) 654-8208
Fax: (225) 654-4642
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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 07557 (LA)
Occupational Therapist Taxonomy 225X00000X · Licence OTT.200306 (LA)

Record details

NPI number1255565545
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 14, 2009
Last updated in NPPESJuly 20, 2021
Certification dateJuly 20, 2021
Mailing address2335 Church St Ste G, Zachary, LA 70791-2700

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Moreau Physical Therapy Inc. — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Zachary