Organization Active NPI

Rippetoe Health

  • Orthopedic Physical Therapist
  • Shreveport, LA
National Provider Identifier
1053852368
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
09574R Issued in LA
Legal business name
RIPPETOE HEALTH
Practice address
717 Crockett St
Ste 205
Shreveport, LA 71101-3605
Phone
(318) 333-1331
Fax
(318) 625-0704
NPI assigned
Mar 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Authorized official

Name
Dr. Eric Michael Rippetoe, DPTNPI 1871931345
Title
Owner, Physical Therapist
Phone
(318) 560-5726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 09574R LA Primary

Addresses

Primary practice location

717 Crockett St
Ste 205
Shreveport, LA 71101-3605

Mailing address

9735 Aiello LN
Shreveport, LA 71106-7440
Phone (318) 560-5726

Other names 1

  • Bishop Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220124000627 LA DME Supplier - Independently-Practicing Physical TherapistDME Supplier - Medical Supply Company 9133511231 Practice locations: Shreveport, LA
O20231014000197 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9133511231 Receives reassigned benefits from 1 practitioner
Practice locations: Shreveport, LA

National Provider Directory

National Provider Directory

Locations

415 Texas St
Ste 310
Shreveport, LA 71101
Phone (318) 333-1331

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1053852368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 AIELLO LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067440",
            "telephone_number": "318-560-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 CROCKETT ST",
            "address_2": "STE 205",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013605",
            "telephone_number": "318-333-1331",
            "fax_number": "318-625-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIPPETOE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "RIPPETOE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "318-560-5726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "09574R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bishop",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bishop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.