Ascension Physical Therapy Inc
Organization Active NPI Physical Therapy Clinic/Center · Donaldsonville, LA
NPI 1033259486 · NPPES record last updated Jul 24, 2008
Key facts
- NPI
- 1033259486
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- ASCENSION PHYSICAL THERAPY INC
- Practice address
- 204 Clinic Dr
Donaldsonville, LA 70346 - Phone
- (225) 473-4719
- Fax
- (225) 473-4719
- NPI assigned
- Feb 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Jerry W Paige
- Title
- Owner Licensed Physical Therapist
- Phone
- (225) 473-4719
Practitioners 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080117000085 | LA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 5496836306 |
Receives reassigned benefits from 3 practitioners Practice locations: Donaldsonville, LA; Plattenville, LA |
National Provider Directory
Locations
204 Clinic Dr
Donaldsonvlle, LA 70346
Phone (225) 473-4719
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
204 Clinic Dr
Donaldsonville, LA 70346
Mailing address
204 Clinic Dr
Donaldsonville, LA 70346
Phone (225) 473-4719
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG3282 | Other | LA | RAILROAD MEDICARE |
Other providers in Donaldsonville, LA
- Patrick V Arcement
- William Joseph Arcement
- Ascension Care Services
- Ascension Parish School Board
- Ascension Parish School Board
- Jeri Austin
- Taylor Anjean Baker
- Laura Beam Bankston
- Glenn John Barras III
- Lynn James Becnel
All providers in Donaldsonville, LA · Physical Therapy Clinic/Center in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.