Physiofit Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSIOFIT PHYSICAL THERAPY, LLC

Practice address

13554 Highway 3235 Ste B
Larose, LA 70373-3204

Phone

(985) 693-7999

Fax

(985) 693-6449

NPI assigned

May 16, 2013

Organization subpart

No

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

Authorized official

Name

Kevin Johanneson

Title

VP Revenue Cycle Operations

Phone

(423) 238-7217

Specialties & licenses 2

Addresses

Other names 1

• Physiofit - Larose Other name

Tax ID family

Physiofit Physical Therapy LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

• Physiofit Physical Therapy, LLC

  • Physical Therapist
  • Youngsville, LA
  • NPI 1033603519
  NPD tax ID
• Physiofit Physical Therapy, LLC

  • Physical Therapist
  • New Orleans, LA
  • NPI 1316310030
  NPD tax ID
• Physiofit Physical Therapy, LLC

  • Physical Therapist
  • Metairie, LA
  • NPI 1326558917
  NPD tax ID
• Physiofit Physical Therapy, LLC

  • Physical Therapist
  • New Orleans, LA
  • NPI 1346855343
  NPD tax ID
• Physiofit Physical Therapy, LLC

  • Physical Therapist
  • Galliano, LA
  • NPI 1497191480
  NPD tax ID
• Physiofit Physical Therapy, LLC

  • Physical Therapist
  • Covington, LA
  • NPI 1538610175
  NPD tax ID
• Physiofit Physical Therapy, LLC

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1588333215
  NPD tax ID
• Physiofit Physical Therapy, LLC

  • Physical Therapist
  • New Orleans, LA
  • NPI 1609207265
  NPD tax ID
• Physiofit Physical Therapy, LLC

  • Physical Therapist
  • Raceland, LA
  • NPI 1699111674
  NPD tax ID
• Physiofit Physical Therapy, LLC

  • Physical Therapist
  • Destrehan, LA
  • NPI 1760014104
  NPD tax ID

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1013353002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13554 HIGHWAY 3235 STE B",
            "city": "LAROSE",
            "state": "LA",
            "postal_code": "703733204",
            "telephone_number": "985-693-7999",
            "fax_number": "985-693-6449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13554 Highway 3235 Ste B",
            "address_purpose": "LOCATION",
            "city": "LaRose",
            "state": "LA",
            "postal_code": "703733200",
            "country_code": "US",
            "telephone_number": "985-693-7999",
            "fax_number": "985-693-6449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSIOFIT PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "JOHANNESON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "VP REVENUE CYCLE OPERATIONS",
        "authorized_official_telephone_number": "423-238-7217"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physiofit - Larose",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Physiofit - Larose",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebecca Gates Ledet, M. A. CCC-SLP
• Shana Matherne
• Christine Dessauer McDaniel, PAC
• Physical Therapy Specialists Inc
• Physiofit LLC
• Blake P Pitre
• Camille Callais Pitre, M.D.
• Amanda Olivier Rogers, M.D.
• Sleep Better Louisiana, LLC
• Therex

• All providers in Larose, LA
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.