Organization Active NPI

Dutch Physical Therapy, Inc.

  • Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1003917550
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01436F Issued in LA
Legal business name
DUTCH PHYSICAL THERAPY, INC.
Practice address
5627 Bankers Ave.
Baton Rouge, LA 70808
Phone
(225) 927-3000
Fax
(225) 927-4183
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Authorized official

Name
Mrs. Mirjam Maassen Veeters, P.T.
Title
Owner
Phone
(225) 927-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 01436F LA Primary

Addresses

Primary practice location

5627 Bankers Ave.
Baton Rouge, LA 70808

Mailing address

5627 Bankers Ave.
Baton Rouge, LA 70808
Phone (225) 927-3000

Other identifiers 1

IdentifierTypeStateIssuer
79557OtherLABCBS OF LOUISIANA NO.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050915000605 LA Part B Supplier - Clinic/Group Practice 4789617135 Receives reassigned benefits from 4 practitioners
Practice locations: Baton Rouge, LA; Denham Springs, LA

National Provider Directory

National Provider Directory
Tax ID family
Dutch Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5627 Bankers Ave
Ste 1
Baton Rouge, LA 70808
Phone (225) 927-3000

5627 Bankers Ave
Baton Rouge, LA 70808
Phone (225) 767-4440

10343 Siegen Ln
Ste 3A
Baton Rouge, LA 70810
Phone (225) 767-4440

10343 Siegen Ln
Bldg 34
Baton Rouge, LA 70810
Phone (225) 767-4440

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1003917550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5627 BANKERS AVE.",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70808",
            "telephone_number": "225-927-3000",
            "fax_number": "225-927-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5627 BANKERS AVE.",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70808",
            "telephone_number": "225-927-3000",
            "fax_number": "225-927-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUTCH PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "VEETERS",
        "authorized_official_first_name": "MIRJAM",
        "authorized_official_middle_name": "MAASSEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-927-3000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "01436F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF LOUISIANA NO.",
            "identifier": "79557",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.