Individual provider Active NPI

Noah Landry, LMT

  • Massage Therapist
  • Baton Rouge, LA
National Provider Identifier
1144065137
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
LA9379 Issued in LA
Practice address
10979 Coursey Blvd Ste E
Baton Rouge, LA 70816-0403
Phone
(225) 295-9993
NPI assigned
Jul 1, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X LA9379 LA Primary

Addresses

Primary practice location

10979 Coursey Blvd Ste E
Baton Rouge, LA 70816-0403

Mailing address

9042 Keaty Dr
Baton Rouge, LA 70809-1819

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LA9379LAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ainsley Archer LLC CurrentSince Dec 8, 2024 Accepting new patients
Cathaleen S Caillouet Get Off My Nerves Chiropractic CurrentSince Jul 7, 2024 Accepting new patients

Locations

10979 Coursey Blvd
Ste E
Baton Rouge, LA 70816
Phone (225) 295-9993

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1144065137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9042 KEATY DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10979 COURSEY BLVD STE E",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708160403",
            "telephone_number": "225-295-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "NOAH",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "LA",
            "license": "LA9379",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 1, 2024; 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.