Active NPI
Jarrad W Faulk, PT
- Specialist
- Monroe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 06930
- 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, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Clinic of Monroe | Current | Accepting new patients | |
| Winnsboro Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Orthopaedic Clinic of Monroe | Current | Accepting new patients | |
| Ouachita Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Dynamic Therapy Solutions, LLC | Physical Therapist | Current | Accepting new patients |
| Douglas C. Brown, MD, a Medical Corporation | Current | Accepting new patients | |
| Ability Lifecare, Inc. | Physical Therapist | Past | Accepting new patients |
| James S Finley MD a Professional Medical Corporation | Specialist | Past | 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
- 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.
-
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-
- Orthopaedic Surgery Physician
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- NPI 1972551372
-
- Physical Therapist
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- NPI 1265064760
-
- Physical Therapy Clinic/Center
- Monroe, LA
- NPI 1144270125
Physical Therapist
-
- Physical Therapist
- Winnsboro, LA
- NPI 1053359083
-
- Sports Medicine (Orthopaedic Surgery) Physician
- West Monroe, LA
- NPI 1003337478
-
- Physical Therapist
- Monroe, LA
- NPI 1134239510
-
- Specialist
- Ruston, LA
- NPI 1457639700
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.