Therapeutic Concepts LTD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT01524R Issued in LA

Legal business name

THERAPEUTIC CONCEPTS LTD

Practice address

15126 Hwy 21 S
Bogalusa, LA 70427-7966

Phone

(985) 732-3549

Fax

(985) 732-3543

NPI assigned

Mar 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Tony Travis, PTNPI 1083731285

Title

Owner Physical Therapist

Phone

(985) 732-3549

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 3

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

• Tony Travis, PT

  • Physical Therapist
  • Bogalusa, LA
  • NPI 1083731285
  Medicare reassignment NPD Authorized official
• Jonathan Logan Albritton, PT, DPT

  • Physical Therapist
  • Slidell, LA
  • NPI 1366930315
  Medicare reassignment
• Heather H. Melancon, P.T.

  • Physical Therapist
  • Bogalusa, LA
  • NPI 1306986534
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1063473163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15126 HWY 21 S",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704277966",
            "telephone_number": "985-732-3549",
            "fax_number": "985-732-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15126 HWY 21 S",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704277966",
            "telephone_number": "985-732-3549",
            "fax_number": "985-732-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC CONCEPTS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "985-732-3549",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "PT01524R",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cori Runfalo Sumrall, D.O.
• Hossein K Tabari, M.D.
• Lisa Tadlock, LCSW
• John Stanley Talley, LCSW
• Teresa Taylor
• Therapeutic Counseling Clinic Inc
• Therapeutic Counseling Clinic, Inc.
• Brittney Thomas, LPC
• Debra Elaine Thomas, GSW
• Jennifer Gayle Thomas, LCSW

• Physical Medicine & Rehabilitation Physician in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Physical Medicine & Rehabilitation Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.