Individual provider Active NPI

Jeffery Ledet, PTA

  • Physical Therapy Assistant
  • Bogalusa, LA
National Provider Identifier
1104270453
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A3626 Issued in LA
Practice address
414 Avenue B
Bogalusa, LA 70427-3702
Phone
(985) 732-1651
Fax
(985) 241-5400
NPI assigned
Apr 22, 2016
Last updated
Apr 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A3626 LA Primary

Addresses

Primary practice location

414 Avenue B
Bogalusa, LA 70427-3702

Mailing address

414 Avenue B
Bogalusa, LA 70427-3702
Phone (985) 732-1651

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

LicenseStateTypeSpecialty
A3626LAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Schultz Physical Therapy of Bogalusa PastSince Mar 30, 2015 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1104270453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 AVENUE B",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273702",
            "telephone_number": "985-732-1651",
            "fax_number": "985-241-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 AVENUE B",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273702",
            "telephone_number": "985-732-1651",
            "fax_number": "985-241-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDET",
        "first_name": "JEFFERY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "LA",
            "license": "A3626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.