Active NPI
Physicians Total Rehabilitation
- Rehabilitation Clinic/Center
- Metairie, LA
National Provider Identifier
1124303623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- PHYSICIANS TOTAL REHABILITATION
- Practice address
- 4515 Shores Dr
Metairie, LA 70006 - Phone
- (504) 301-0164
- NPI assigned
- Oct 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tiffany Diaz
- Title
- Office Manager
- Phone
- (504) 301-0164
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
4515 Shores Dr
Metairie, LA 70006
Mailing address
4515 Shores Dr
Metairie, LA 70006
Phone (504) 301-0164
National Provider Directory
National Provider DirectoryLocations
4515 Shores Dr
Metairie, LA 70006
Phone (504) 301-0164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318636800000",
"number": "1124303623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4515 SHORES DR",
"city": "METAIRIE",
"state": "LA",
"postal_code": "70006",
"telephone_number": "504-301-0164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 SHORES DR",
"city": "METAIRIE",
"state": "LA",
"postal_code": "70006",
"telephone_number": "504-301-0164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS TOTAL REHABILITATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-15",
"last_updated": "2011-10-15",
"status": "A",
"authorized_official_last_name": "DIAZ",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "504-301-0164",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.