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

Nicolas Bereciartua

Individual provider Physical Therapist · NPI 1043036601

Nicolas Bereciartua is a Physical Therapist in Private Practice in Jefferson, Louisiana. Qualified in 2024, 2 years ago. Practices with Crane Rehab Center LLC, a 10-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024

Practice location Address checks out

101 River Rd Ste 112
Jefferson, LA 70121-4226
Phone: (504) 828-7696
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1043036601
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 28, 2024
Last updated in NPPESNovember 28, 2024
Certification dateNovember 19, 2024
Mailing address101 River Rd Ste 112, Jefferson, LA 70121-4226

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Crane Rehab Center Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jefferson