Active NPI
Triton Healthcare, Inc.
- Physical Therapist
- Denham Springs, LA
National Provider Identifier
1093809923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- TRITON HEALTHCARE, INC.
- Practice address
- 8128 Florida Blvd
Denham Springs, LA 70726-7865 - Phone
- (225) 791-8666
- Fax
- (225) 791-2891
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Byron Nichols
- Title
- Owner
- Phone
- (225) 791-8666
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | LA | Primary |
Addresses
Primary practice location
8128 Florida Blvd
Denham Springs, LA 70726-7865
Mailing address
8128 Florida Blvd
Denham Springs, LA 70726-7865
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1553999 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080708000233 | LA | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 0941372981 | Practice locations: Denahm Springs, LA |
Outpatient physical therapy / speech pathology certification: CCN 196612
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- TRITON HEALTHCARE, INC
- Certification status
- Active
- Provider type (POS)
- Outpatient physical therapy / speech pathology
- Participating since
- May 6, 1999
- Last certification
- Jan 9, 2023
- Ownership / control type
- Proprietary
- Facility address
- 8128 Florida Blvd
Denham Springs, LA 70726
National Provider Directory
National Provider Directory- Tax ID family
- Triton Healthcare
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Care Home Facility
- Carencro, LA
- NPI 1538312913
-
- Skilled Nursing Facility
- Denham Springs, LA
- NPI 1821287848
-
- Health Maintenance Organization
- New Orleans, LA
- NPI 1386899532
Locations
8128 Florida Blvd
Denham Springs, LA 70726
Phone (225) 791-8666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657152000000",
"number": "1093809923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8128 FLORIDA BLVD",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707267865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8128 FLORIDA BLVD",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707267865",
"telephone_number": "225-791-8666",
"fax_number": "225-791-2891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRITON HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A",
"authorized_official_last_name": "NICHOLS",
"authorized_official_first_name": "BYRON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "225-791-8666"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1553999",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.