Organization Active NPI

Sterlington Physical Therapy, LLC

  • Physical Therapist
  • Monroe, LA
National Provider Identifier
1104458686
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
STERLINGTON PHYSICAL THERAPY, LLC
Practice address
8649 Highway 165 N Ste 5
Monroe, LA 71203-8965
Phone
(318) 503-9789
Fax
(318) 267-0131
NPI assigned
Feb 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Authorized official

Name
Brittney Whitlock
Title
Credentialing Specialist
Phone
(318) 325-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

8649 Highway 165 N Ste 5
Monroe, LA 71203-8965

Mailing address

PO Box 127
Fairbanks, LA 71240-0127
Phone (318) 503-9789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200318000900 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4880022268 Receives reassigned benefits from 6 practitioners
Practice locations: Monroe, LA

National Provider Directory

National Provider Directory

Locations

8649 Highway 165 N
Ste 5
Monroe, LA 71203
Phone (318) 235-9326

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1104458686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "FAIRBANKS",
            "state": "LA",
            "postal_code": "712400127",
            "telephone_number": "318-503-9789",
            "fax_number": "318-267-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8649 HIGHWAY 165 N STE 5",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712038965",
            "telephone_number": "318-503-9789",
            "fax_number": "318-267-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLINGTON PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "318-325-6200"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.