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
Last updated
Feb 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

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

Specialties & licenses 3

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

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

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

Medicare participation

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

Enrollment records 1

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

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

National Provider Directory

National Provider Directory

Locations

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

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

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

14901 Carey Rd
Carmel, IN 46033

117 E Kentucky St
Louisville, KY 40203
Phone (502) 584-3573

3134 Hundred Oaks Ave
Baton Rouge, LA 70808

8502 Jefferson Hwy
Baton Rouge, LA 70809
Phone (225) 234-8168

425 E Flournoy Lucas Rd
Shreveport, LA 71115

95 Wyman Rd
Keene, NH 03431
Phone (603) 283-5150

1417 N Mack Smith Rd
East Ridge, TN 37412
Phone (423) 453-4613

Practitioners & affiliated clinicians

Practitioners 58

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 58

NPI Registry JSON

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

{
    "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.