Active NPI
Jason Paul Douglas, PT
- Physical Therapist
- Houma, LA
National Provider Identifier
1073684700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 07120
- Practice address
- 210 New Orleans Blvd
Houma, LA 70364-3346 - Phone
- (985) 868-4487
- Fax
- (985) 872-6869
- NPI assigned
- Nov 13, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 07120 | LA | Primary |
Addresses
Primary practice location
210 New Orleans Blvd
Houma, LA 70364-3346
Mailing address
210 New Orleans Blvd
Houma, LA 70364-3346
Phone (985) 868-4487
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07120 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073684700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 NEW ORLEANS BLVD",
"city": "HOUMA",
"state": "LA",
"postal_code": "703643346",
"telephone_number": "985-868-4487",
"fax_number": "985-872-6869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 NEW ORLEANS BLVD",
"city": "HOUMA",
"state": "LA",
"postal_code": "703643346",
"telephone_number": "985-868-4487",
"fax_number": "985-872-6869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLAS",
"first_name": "JASON",
"middle_name": "PAUL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "07120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houma, 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.