NPIMap

Organization Active NPI

Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Tallulah, LA
National Provider Identifier
1154852382
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HEALTHPRO HERITAGE REHAB & FITNESS, LLC
Practice address
900 Johnson St
Tallulah, LA 71282-4537
Phone
(615) 406-3997
NPI assigned
Mar 21, 2017
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Julie McGlasson
Title
Director Licensing & Certification
Phone
(615) 406-3997

Other NPIs with the same Medicare PAC ID 23

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 23

Practitioners 1,003

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,003

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20231004003036 LA Part B Supplier - Clinic/Group Practice 6507832573 Receives reassigned benefits from 53 practitioners
Practice locations: Baton Rouge, LA; Tallulah, LA; New Orleans, LA; Monroe, LA; Metairie, LA; Luling, LA; Kenner, LA; Covington, LA

National Provider Directory

National Provider Directory

Locations

1571 Stratfield Rd
Fairfield, CT 06825
Phone (203) 583-8005

211 Danbury Rd
Wilton, CT 06897
Phone (203) 423-7500

1200 54th Avenue Dr W
Bradenton, FL 34207
Phone (941) 216-1106

920 Clairemont Ave
Decatur, GA 30030
Phone (404) 371-3514

5835 Medlock Bridge Pkwy
Johns Creek, GA 30022
Phone (770) 450-1750

294 Rope Mill Rd
Woodstock, GA 30188
Phone (470) 706-9237

270 Ashton Plantation Blvd
Luling, LA 70070
Phone (985) 236-1345

425 E Flournoy Lucas Rd
Shreveport, LA 71115

7128 France Ave S
Minneapolis, MN 55435
Phone (651) 422-8987

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

NPPES NPI Registry

Primary practice location

900 Johnson St
Tallulah, LA 71282-4537

Mailing address

307 International Cir Ste 100
Hunt Valley, MD 21030-1387
Phone (615) 406-3997

Other practice location 1

3801 Loyola Dr
Kenner, LA 70065-7793
Phone (504) 269-3020

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 24, 2026.

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1154852382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 INTERNATIONAL CIR STE 100",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210301387",
            "telephone_number": "615-406-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JOHNSON ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712824537",
            "telephone_number": "615-406-3997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Loyola Dr",
            "address_purpose": "LOCATION",
            "city": "Kenner",
            "state": "LA",
            "postal_code": "700657793",
            "country_code": "US",
            "telephone_number": "504-269-3020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTHPRO HERITAGE REHAB & FITNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "MCGLASSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "DIRECTOR LICENSING & CERTIFICATION",
        "authorized_official_telephone_number": "615-406-3997"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "cms esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tallulah, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.