Quinn Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

QUINN PHYSICAL THERAPY LLC

Practice address

1103 Kaliste Saloom Rd Ste 204
Lafayette, LA 70508-5784

Phone

(337) 988-1130

Fax

(337) 988-1307

NPI assigned

Dec 29, 2008

Last updated

Oct 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony James Quinn, PTNPI 1013905843

Title

Owner/Director

Phone

(337) 988-1130

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

Tax ID family

Quinn Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Quinn Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Lafayette, LA
  • NPI 1851135701
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony Quinn, PT

  • Physical Therapist
  • Lafayette, LA
  • NPI 1013905843
  Medicare reassignment Care Compare group NPD Authorized official
• Chasity Danyelle Popillion, DPT

  • Physical Therapist
  • Rayne, LA
  • NPI 1639645492
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1063658896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 KALISTE SALOOM RD STE 204",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085784",
            "telephone_number": "337-988-1130",
            "fax_number": "337-988-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 KALISTE SALOOM RD STE 204",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085784",
            "telephone_number": "337-988-1130",
            "fax_number": "337-988-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINN PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "337-988-1130",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci Quebedeaux, MS, RD, LDN
• Jenna M Query
• Quest Diagnostics Clinical Laboratories Inc
• Quest Diagnostics Clinical Laboratories Inc
• Latrisha Sharee Quincy
• Quinn Physical Therapy LLC
• Anthony Quinn, PT
• Oliver Quinn
• Joshua Quintana, DO
• Mary Quoyeser

• Physical Therapist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.