Active NPI
Courtney E Page, PT, DPT
- Physical Therapist
- Shreveport, LA
National Provider Identifier
1023744869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10623
- Practice address
- 6969 Fern Loop Ste a
Shreveport, LA 71105-4159 - Phone
- (317) 383-0022
- NPI assigned
- Jul 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10623 | LA | Primary |
Addresses
Primary practice location
6969 Fern Loop Ste a
Shreveport, LA 71105-4159
Mailing address
1404 E Belle Haven Dr
Bossier City, LA 71111-8176
Phone (225) 328-3545
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10623 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1023744869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 E BELLE HAVEN DR",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711118176",
"telephone_number": "225-328-3545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6969 FERN LOOP STE A",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711054159",
"telephone_number": "317-383-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGE",
"first_name": "COURTNEY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-25",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "10623",
"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 Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.