Active NPI
Arthur James Wilson IV, PT
- Physical Therapist
- Port Allen, LA
National Provider Identifier
1104473925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00883
- Practice address
- 4171 Hwy 1 S. Ste 10
Port Allen, LA 70767 - Phone
- (225) 416-0333
- Fax
- (225) 416-0332
- NPI assigned
- Aug 26, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 00883 | LA | Primary |
Addresses
Primary practice location
4171 Hwy 1 S. Ste 10
Port Allen, LA 70767
Mailing address
4171 Hwy 1 S. Ste 10
Port Allen, LA 70767
Phone (225) 416-0333
Other names 1
- Jim Wilson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4171 Hwy 1 S
Suite 10
Port Allen, LA 70767-5822
Phone (225) 416-0333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adam Reeves DC a Professional Chiropractic Corporation | Past | Accepting new patients | |
| Dickinson Chiropractic LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Port Allen, LA
- NPI 1922666551
-
- Chiropractor
- Donaldsonville, LA
- NPI 1114651692
-
- Clinic/Center
- Denham Springs, LA
- NPI 1083338206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1104473925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4171 HWY 1 S. STE 10",
"city": "PORT ALLEN",
"state": "LA",
"postal_code": "70767",
"telephone_number": "225-416-0333",
"fax_number": "225-416-0332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4171 HWY 1 S. STE 10",
"city": "PORT ALLEN",
"state": "LA",
"postal_code": "70767",
"telephone_number": "225-416-0333",
"fax_number": "225-416-0332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ARTHUR",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"name_suffix": "IV",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-26",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "00883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JIM",
"last_name": "WILSON",
"credential": "PT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Port Allen, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.