Jeffrey M Phillips, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

08020R Issued in LA

Practice address

2906 Plantation Dr
Bossier City, LA 71111-5851

Phone

(318) 746-5295

Fax

(318) 746-5297

NPI assigned

Sep 11, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Physical Therapy Group II LLCGroup PAC ID 8426466293, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elite Physical Therapy Group II LLC

  • Physical Therapy Clinic/Center
  • Alexandria, LA
  • NPI 1649859927

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104345206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8660 FERN AVE STE 160",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055694",
            "telephone_number": "318-631-7999",
            "fax_number": "318-631-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 PLANTATION DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115851",
            "telephone_number": "318-746-5295",
            "fax_number": "318-746-5297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8660 Fern Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711055694",
            "country_code": "US",
            "telephone_number": "318-631-7999",
            "fax_number": "318-631-9528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "LA",
            "license": "08020R",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "08020R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jatori Perry
• Jennifer Peters, DPT
• Joanna Brooke Petersen, OTR/L
• Frank Joseph Petitto Jr., RPH
• Natasha Pham
• Kathryn Phillips
• Physician'S Choice Home Medical Supply LLC
• Meagan Elise Piazza, PHARMD
• Jim Pichon, DDS, MD
• Stacey Fuselier Pierce, LPC, LMFT, NCC

• Orthopedic Physical Therapist in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Orthopedic Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.