Bogalusa Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BOGALUSA PHYSICAL THERAPY, LLC

Doing business as

Care Physical Therapy

Practice address

609 Superior Ave
Bogalusa, LA 70427-2630

Phone

(985) 735-1426

Fax

(985) 735-1428

NPI assigned

Jun 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William CochranNPI 1417948068

Title

Owner

Phone

(985) 735-1426

Specialties & licenses 1

Addresses

Other names 1

• CARE PHYSICAL THERAPY Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William T Cochran Jr., RPT

  • Physical Therapist
  • Hattiesburg, MS
  • NPI 1417948068

  LA

  Medicare reassignment NPD Authorized official
• Byron Blackwell, MPT

  • Physical Therapist
  • Bogalusa, LA
  • NPI 1508259334
  Medicare reassignment NPD
• Brian Carson Cochran, P.T.

  • Physical Therapist
  • Covington, LA
  • NPI 1073595922
  NPD (past)
• Glenna Grice

  • Student in an Organized Health Care Education/Training Program
  • Bogalusa, LA
  • NPI 1679965818
  NPD (past)
• Paula Christine Reyes, PA-C

  • Physician Assistant
  • Supply, NC
  • NPI 1649933979
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124220983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 SUPERIOR AVE",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704272630",
            "telephone_number": "985-735-1426",
            "fax_number": "985-735-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 SUPERIOR AVE",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704272630",
            "telephone_number": "985-735-1426",
            "fax_number": "985-735-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOGALUSA PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-735-1426",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARE PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Bogalusa Rehabilitation Hospital LLC (Bogalusa Rehabilitation Hospital)
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• Bogue Chitto Heights Baptist Church, Inc (The Way Center)
• Barry Warris Bolton
• Carly Kristin Bordelon, PHARM.D.

• Physical Therapist in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.