NPIMap

Organization Active NPI

Lafayette Bone & Joint Clinic

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1104898527
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00589 Issued in LA
Legal business name
LAFAYETTE BONE & JOINT CLINIC
Practice address
1103 Kaliste Saloom Rd
Suite 104
Lafayette, LA 70508-5783
Phone
(337) 289-9129
Fax
(337) 289-9131
NPI assigned
Feb 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Authorized official

Name
John E Cobb, MD
Title
President
Phone
(337) 234-5234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 00589 LA Primary

Addresses

Primary practice location

1103 Kaliste Saloom Rd
Suite 104
Lafayette, LA 70508-5783

Mailing address

1103 Kaliste Saloom Rd
Suite 104
Lafayette, LA 70508-5783
Phone (337) 289-9129

Other identifiers 4

IdentifierTypeStateIssuer
7500296OtherLAAETNA
4388031460OtherLABLUE CROSS
2252789OtherLAAETNA
4393592250OtherLABLUE CROSS

Other names 1

  • Sothern Spine Institute Doing business as

National Provider Directory

National Provider Directory

Locations

1103 Kaliste Saloom Rd
Ste 104
Lafayette, LA 70508
Phone (337) 289-9129

Practitioners & affiliated clinicians

Practitioners 1

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": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1104898527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 KALISTE SALOOM RD",
            "address_2": "SUITE 104",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085783",
            "telephone_number": "337-289-9129",
            "fax_number": "337-289-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 KALISTE SALOOM RD",
            "address_2": "SUITE 104",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085783",
            "telephone_number": "337-289-9129",
            "fax_number": "337-289-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE BONE & JOINT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-234-5234",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "00589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7500296",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4388031460",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2252789",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4393592250",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sothern Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.