Ignite Therapy Solutions, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

IGNITE THERAPY SOLUTIONS, LLC

Practice address

204 S Elm Street
Welsh, LA 70647

Phone

(337) 370-1712

NPI assigned

Aug 27, 2024

Organization subpart

No

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

Authorized official

Name

Ashley Granger, PT, DPTNPI 1871834796

Title

Physical Therapist

Phone

(337) 370-1712

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 2

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

• Ashley Marie Granger, DPT

  • Physical Therapist
  • Jennings, LA
  • NPI 1871834796

  LA

  Medicare reassignment Care Compare group NPD Authorized official
• Dustin Paul Fontenot, P.T.

  • Physical Therapist
  • Jennings, LA
  • NPI 1609154343

  LA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727568000000",
    "number": "1083448773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S ELM STREET",
            "city": "WELSH",
            "state": "LA",
            "postal_code": "70591",
            "telephone_number": "337-370-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S ELM STREET",
            "city": "WELSH",
            "state": "LA",
            "postal_code": "70647",
            "telephone_number": "337-370-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE THERAPY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-29",
        "status": "A",
        "authorized_official_last_name": "GRANGER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "337-370-1712",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold Wayne Bertrand, FNP-BC
• Jaquetta Celestine, LPN
• Church Point Drug Inc
• Brittany Fontenot
• Golden Age of Welsh, L.L.C.
• Jennings American Legion Hospital Inc
• Young Hee Kang, MD
• Yvonne H. Krielow, NP
• Ochsner American Legion Hospital LLC
• Mark G Petry, DDS

• All providers in Welsh, LA
• Physical Therapy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.