Individual provider Active NPI

Archna Shasta

  • Geriatric Physical Therapist
  • Shreveport, LA
National Provider Identifier
1023132131
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
08363R Issued in LA
Practice address
7591 Fern Ave Ste 1203
Shreveport, LA 71105-5763
Phone
(318) 828-2972
NPI assigned
Mar 16, 2007
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 08363R LA
Geriatric Physical Therapist 2251G0304X 08363R LA Primary

Addresses

Primary practice location

7591 Fern Ave Ste 1203
Shreveport, LA 71105-5763

Mailing address

407 Oakwood Trace CT
Shreveport, LA 71106-8314
Phone (614) 284-2956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arch Physical Therapy & Wellness LLC CurrentSince Jan 1, 2024 Accepting new patients
Access Therapies at Home Past Accepting new patients
On Point Physical Therapy and Wellness LLC Geriatrics PastSince Sep 17, 2023 Accepting new patients

Locations

7591 Fern Ave
Ste 1203
Shreveport, LA 71105
Phone (318) 828-2972

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1023132131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 OAKWOOD TRACE CT",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711068314",
            "telephone_number": "614-284-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7591 FERN AVE STE 1203",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055763",
            "telephone_number": "318-828-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHASTA",
        "first_name": "ARCHNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2023-09-12",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "08363R",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "LA",
            "license": "08363R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.