Individual provider Active NPI

Jarrad W Faulk, PT

  • Specialist
  • Monroe, LA
National Provider Identifier
1154377851
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
06930 Issued in LA
Practice address
3001 Armand St Ste F
Monroe, LA 71201-3761
Phone
(318) 340-6300
Fax
(318) 340-6323
NPI assigned
May 25, 2006
Last updated
Jun 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 06930 LA Primary

Addresses

Primary practice location

3001 Armand St Ste F
Monroe, LA 71201-3761

Mailing address

2804 Cuba Blvd
Monroe, LA 71201-2014
Phone (318) 343-3149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071107000191 LA Practitioner - Physical Therapist in Private Practice 7719074723 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Clinic of MonroeGroup PAC ID 0840252698, 35 clinicians

Practice addresses (Care Compare)

1501 Louisville Ave
Monroe, LA 71201-6025
Phone 31832384514310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Clinic of Monroe CurrentSince Dec 18, 2024 Accepting new patients
Winnsboro Physical Therapy, Inc Physical Therapist CurrentSince Sep 1, 2020 Accepting new patients
Orthopaedic Clinic of Monroe CurrentSince Dec 18, 2024 Accepting new patients
Ouachita Physical Therapy, Inc. Physical Therapist CurrentSince Apr 16, 2019 Accepting new patients
Dynamic Therapy Solutions, LLC Physical Therapist CurrentSince Apr 16, 2020 Accepting new patients
Douglas C. Brown, MD, a Medical Corporation CurrentSince Jan 1, 2020 Accepting new patients
Ability Lifecare, Inc. Physical Therapist Past Accepting new patients
James S Finley MD a Professional Medical Corporation Specialist PastSince Jan 1, 2020 Accepting new patients

Locations

1138 Oliver Rd
Monroe, LA 71201
Phone (318) 323-3031

1501 Louisville Ave
Monroe, LA 71201
Phone 31832384514310

312 Grammont St
Ste 302
Monroe, LA 71201
Phone (318) 323-6603

707 S Vienna St
Ruston, LA 71270
Phone (318) 224-3044

Interoperability endpoints

  • Direct secure messaging: cormedicalllc.jarradfaulk@161340.advancedmd-direct.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1154377851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 CUBA BLVD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012014",
            "telephone_number": "318-343-3149",
            "fax_number": "318-325-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 ARMAND ST STE F",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013761",
            "telephone_number": "318-340-6300",
            "fax_number": "318-340-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULK",
        "first_name": "JARRAD",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "06930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.