Wellness Physical Therapy of Slidell, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

06166 Issued in LA

Legal business name

WELLNESS PHYSICAL THERAPY OF SLIDELL, LLC

Practice address

1311 Gause Blvd
Slidell, LA 70458-3015

Phone

(985) 649-6577

Fax

(985) 649-7615

NPI assigned

Sep 20, 2007

Last updated

Mar 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jeri A Barron

Title

Office Manager

Phone

(985) 649-6577

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wellness Physical Therapy Other name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Wellness Physical Therapy of Diamondhead

  dba Wellness PT of Diamondhead

  • Physical Therapy Clinic/Center
  • Pass Christian, MS
  • NPI 1598001307

  Member Of

  NPD member

Practitioners 5

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.

• Rayme B Pullen, P.T.

  • Physical Therapist
  • Covington, LA
  • NPI 1548239049
  Medicare reassignment Care Compare group NPD
• Ethan Loftin, DPT

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Slidell, LA
  • NPI 1053142885
  Medicare reassignment Care Compare group
• Ashlen Bissell, DPT

  • Physical Therapist
  • Slidell, LA
  • NPI 1861861791
  Medicare reassignment NPD
• Gretechen Turner, PT, DPT, LSVT BIG

  • Physical Therapist
  • Slidell, LA
  • NPI 1033585807
  Medicare reassignment NPD
• Richard E Baudry, PT

  • Physical Therapist
  • Slidell, LA
  • NPI 1932140340
  NPD

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1184810426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 GAUSE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583015",
            "telephone_number": "985-649-6577",
            "fax_number": "985-649-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 GAUSE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583015",
            "telephone_number": "985-649-6577",
            "fax_number": "985-649-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PHYSICAL THERAPY OF SLIDELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "BARRON",
        "authorized_official_first_name": "JERI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "985-649-6577",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "06166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "H8100",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alan M Weems, M.D.
• Kelly Wehrung, RN
• Michael K Weil, M.D.
• Robert Weiss, MD
• Wellness Aerobic & Sports Medicine Clinic
• Sophia Wendt
• Deandre Develle West, LMSW
• Lauren West
• Thomas Thane West, M.D.
• Jonathan Westerveld, DPM

• Physical Therapist in Slidell, LA
• Providers in Slidell, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.