NPIMap

Organization Active NPI

City Park Physical Therapy, LLC

  • Physical Therapist
  • New Orleans, LA
National Provider Identifier
1003178393
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CITY PARK PHYSICAL THERAPY, LLC
Practice address
5559 Canal Blvd.
New Orleans, LA 70124-2745
Phone
(504) 309-5811
Fax
(504) 309-5877
NPI assigned
Jun 12, 2012
Last updated
Aug 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Cherie Chatelain Rose, OTNPI 1679838338
Title
Vice President
Phone
(504) 309-5811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU
Registered Dietitian 133V00000X NU
Acupuncturist 171100000X NU
Occupational Therapy Assistant 224Z00000X NU
Physical Therapist 225100000X NU Primary
Physical Therapy Assistant 225200000X NU
Athletic Trainer 2255A2300X NU
Massage Therapist 225700000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Clinical Exercise Physiologist 224Y00000X NU

Addresses

Primary practice location

5559 Canal Blvd.
New Orleans, LA 70124-2745

Mailing address

5559 Canal Boulevard
New Orleans, LA 70124-2745
Phone (504) 309-5811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130924000272 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2264676741 Receives reassigned benefits from 18 practitioners
Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory

Locations

5559 Canal Blvd
New Orleans, LA 70124
Phone (504) 309-5811

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1003178393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5559 CANAL BOULEVARD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701242745",
            "telephone_number": "504-309-5811",
            "fax_number": "504-309-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5559 CANAL BLVD.",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701242745",
            "telephone_number": "504-309-5811",
            "fax_number": "504-309-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY PARK PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "CHERIE",
        "authorized_official_middle_name": "CHATELAIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "504-309-5811",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.