NPIMap

Organization Active NPI

Physiofit DME LLC

Doing business as Alumni Medical

  • Durable Medical Equipment & Medical Supplies
  • Raceland, LA
National Provider Identifier
1134412216
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
6211 Issued in LA
Legal business name
PHYSIOFIT DME LLC
Doing business as
Alumni Medical
Practice address
120 White Rose Dr
Raceland, LA 70394-2644
Phone
(985) 532-2229
Fax
(985) 532-2230
NPI assigned
May 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Jeremy John Breaux, B.S.
Title
Owner
Phone
(985) 381-3811

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 6211 LA Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 6211 LA
Oxygen Equipment & Supplies (DME) 332BX2000X 6211 LA

Addresses

Primary practice location

120 White Rose Dr
Raceland, LA 70394-2644

Mailing address

120 White Rose Dr
Raceland, LA 70394-2644
Phone (985) 532-2229

Other practice location 1

4313 Highway 1 Ste B
Raceland, LA 70394-3876
Phone (985) 381-3811

Other names 1

  • Alumni Medical Doing business as

National Provider Directory

National Provider Directory

Locations

4313 Highway 1
Ste B
Raceland, LA 70394
Phone (985) 381-3811

NPI Registry JSON

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1134412216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WHITE ROSE DR",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942644",
            "telephone_number": "985-532-2229",
            "fax_number": "985-532-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WHITE ROSE DR",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942644",
            "telephone_number": "985-532-2229",
            "fax_number": "985-532-2230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4313 Highway 1 Ste B",
            "address_purpose": "LOCATION",
            "city": "Raceland",
            "state": "LA",
            "postal_code": "703943876",
            "country_code": "US",
            "telephone_number": "985-381-3811",
            "fax_number": "985-532-3942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSIOFIT DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-23",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "BREAUX",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-381-3811",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "6211",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "LA",
            "license": "6211",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "LA",
            "license": "6211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alumni Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alumni Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raceland, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.