Active NPI
Joseph Ross Parker, ATC, LAT
- Athletic Trainer
- Jennings, LA
National Provider Identifier
1073629572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- ATH.J00385
- Practice address
- 2002 Johnson St
Suite #100
Jennings, LA 70546-3646 - Phone
- (337) 824-4547
- Fax
- (337) 824-4548
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | ATH.J00385 | LA | Primary |
Addresses
Primary practice location
2002 Johnson St
Suite #100
Jennings, LA 70546-3646
Mailing address
2899 Sugarloaf Dr TRLR 198
Lake Charles, LA 70607-7554
Phone (337) 824-4547
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 |
|---|---|---|---|
| ATH.J00385 | LA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lemoine Therapy Services of Cenla Inc | Past | Accepting new patients | |
| Therapy Center of Jefferson Davis Parish, Inc | Athletic Trainer | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Mansura, LA
- NPI 1336242767
-
- Physical Therapist
- Jennings, LA
- NPI 1508971045
Athletic Trainer
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073629572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2899 SUGARLOAF DR TRLR 198",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706077554",
"telephone_number": "337-824-4547",
"fax_number": "337-824-4548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 JOHNSON ST",
"address_2": "SUITE #100",
"city": "JENNINGS",
"state": "LA",
"postal_code": "705463646",
"telephone_number": "337-824-4547",
"fax_number": "337-824-4548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "JOSEPH",
"middle_name": "ROSS",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": "ATH.J00385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jennings, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.