Active NPI
Kristie H Culpepper, PT DPT MTC
- Physical Therapist
- Baton Rouge, LA
National Provider Identifier
1104964691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 04515
- Practice address
- 6723 Jefferson Hwy
Baton Rouge, LA 70806-8106 - Phone
- (225) 926-2400
- Fax
- (225) 926-2470
- NPI assigned
- Feb 5, 2007
- Last updated
- Sep 22, 2010
- Sex
- Female
- 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 | 04515 | LA | Primary |
Addresses
Primary practice location
6723 Jefferson Hwy
Baton Rouge, LA 70806-8106
Mailing address
6723 Jefferson Hwy
Baton Rouge, LA 70806-8106
Phone (225) 926-2400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G5372 | Other | LA | BLUE CROSS BLUE SHIELD |
| 204969100 | Other | LA | DEPT OF LABOR |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Performance Physical Therapy Limited Partnership | Past | Accepting new patients | |
| The Physcial Therapy Center | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1649203787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1104964691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6723 JEFFERSON HWY",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708068106",
"telephone_number": "225-926-2400",
"fax_number": "225-926-2470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6723 JEFFERSON HWY",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708068106",
"telephone_number": "225-926-2400",
"fax_number": "225-926-2470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULPEPPER",
"first_name": "KRISTIE",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "PT DPT MTC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "04515",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "G5372",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "204969100",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.