Individual provider Active NPI

Rutgerus Franciscus Jongbloets, PT

  • Physical Therapist
  • Galliano, LA
National Provider Identifier
1013919430
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01567F Issued in LA
Practice address
18641 Highway 3235
Galliano, LA 70354-3936
Phone
(985) 475-4555
Fax
(985) 475-4557
NPI assigned
Aug 15, 2005
Last updated
Jun 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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 01567F LA Primary

Addresses

Primary practice location

18641 Highway 3235
Galliano, LA 70354-3936

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

1810 Lindberg Dr Ste 3400
Slidell, LA 70458-8161
Phone (985) 641-2996

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060720000345 LA Practitioner - Physical Therapist in Private Practice 9436162294 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiofit Physical Therapy, LLCGroup PAC ID 3274767702, 36 clinicians
Physiofit Louisiana LLCGroup PAC ID 9830529650, 23 clinicians

Practice addresses (Care Compare)

11445 Coursey Blvd
Suite K
Baton Rouge, LA 70816-0411
Phone (225) 377-4401

120 White Rose Dr
Raceland
Raceland, LA 70394-2644
Phone (985) 532-9662

1810 Lindberg Dr
Suite 3400
Slidell, LA 70458-8161
Phone (985) 718-5339

18641 Hwy 3235
Galliano, LA 70354-3936
Phone (985) 475-4555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physiofit Louisiana LLC Physical Therapist CurrentSince Jun 24, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1810 Lindberg Dr
Ste 3400
Slidell, LA 70458
Phone (985) 641-2996

200 N Military Rd
Slidell, LA 70461
Phone (985) 590-5029

2965 Gause Blvd E
Slidell, LA 70461
Phone (985) 231-6475

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1013919430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18641 HIGHWAY 3235",
            "city": "GALLIANO",
            "state": "LA",
            "postal_code": "703543936",
            "telephone_number": "985-475-4555",
            "fax_number": "985-475-4557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 Lindberg Dr Ste 3400",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704588161",
            "country_code": "US",
            "telephone_number": "985-641-2996",
            "fax_number": "985-601-2743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONGBLOETS",
        "first_name": "RUTGERUS",
        "middle_name": "FRANCISCUS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "01567F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galliano, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.