NPIMap

Organization Active NPI

Amite Physical Therapy Dba Professional Physical Therapy

  • Customized Equipment (DME)
  • Amite, LA
National Provider Identifier
1083761266
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
140 Issued in LA
Legal business name
AMITE PHYSICAL THERAPY DBA PROFESSIONAL PHYSICAL THERAPY
Practice address
216 N 2ND St
Amite, LA 70422-2408
Phone
(985) 748-7878
Fax
(985) 748-2837
NPI assigned
Jan 3, 2007
Last updated
Jan 29, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
AMITE PHYSICAL THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Prof. Marvin Bruce Neal Jr., P.T.NPI 1003885310
Title
President
Phone
(985) 748-7878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 140 LA Primary

Addresses

Primary practice location

216 N 2ND St
Amite, LA 70422-2408

Mailing address

PO Box 398
Amite, LA 70422-0398
Phone (985) 748-7878

National Provider Directory

National Provider Directory
Tax ID family
Amite Physical Therapy Inc3 organizations share this tax ID, including this one
Part of
Amite Physical Therapy Inc

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1083761266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704220398",
            "telephone_number": "985-748-7878",
            "fax_number": "985-748-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N 2ND ST",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704222408",
            "telephone_number": "985-748-7878",
            "fax_number": "985-748-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMITE PHYSICAL THERAPY DBA PROFESSIONAL PHYSICAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMITE PHYSICAL THERAPY",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-748-7878",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "LA",
            "license": "140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amite, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.