Individual provider Active NPI

Anthony Quinn, PT

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1013905843
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02778F Issued in LA
Practice address
2448 Johnston St
Lafayette, LA 70503-2756
Phone
(337) 261-5151
NPI assigned
Oct 6, 2005
Last updated
Oct 11, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 02778F LA Primary

Addresses

Primary practice location

2448 Johnston St
Lafayette, LA 70503-2756

Mailing address

2448 Johnston St
Lafayette, LA 70503-2756
Phone (337) 261-5151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040706001341 LA Practitioner - Physical Therapist in Private Practice 0547247686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quinn Physical Therapy LLCGroup PAC ID 0648445023, 2 clinicians

Practice addresses (Care Compare)

1103 Kaliste Saloom Rd
Suite 204
Lafayette, LA 70508-5784
Phone (337) 988-1130

Merit-based Incentive Payment System (MIPS)

Final score
18.11 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
60.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02778FLAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Quinn Physical Therapy LLC Physical Therapist CurrentSince Apr 2, 2004 Accepting new patients
Quinn Physical Therapy LLC Current Accepting new patients
United Pain Practitioners, LLC Physical Therapist PastSince Jan 1, 2009 Accepting new patients

Locations

1103 Kaliste Saloom Rd
Ste 204
Lafayette, LA 70508
Phone (337) 264-7201

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1013905843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 JOHNSTON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032756",
            "telephone_number": "337-261-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 JOHNSTON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032756",
            "telephone_number": "337-261-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "02778F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.