NPIMap

Organization Active NPI

Thibodeaux Orthopedic Clinic, Inc.

  • Physical Therapist
  • Thibodaux, LA
National Provider Identifier
1184951964
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THIBODEAUX ORTHOPEDIC CLINIC, INC.
Practice address
509 Saint Mary St
Thibodaux, LA 70301-2639
Phone
(985) 446-9565
Fax
(985) 446-9577
NPI assigned
Nov 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Authorized official

Name
Neil J Maki, M.D.NPI 1841287968
Title
President
Phone
(985) 446-9565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

509 Saint Mary St
Thibodaux, LA 70301-2639

Mailing address

525 Saint Mary St
Thibodaux, LA 70301-2627
Phone (985) 446-6284

Other names 1

  • NEIL-MAKI MD PT-SRVS Other name

National Provider Directory

National Provider Directory

Locations

509 Saint Mary St
Thibodaux, LA 70301
Phone (985) 446-9565

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1184951964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 SAINT MARY ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012627",
            "telephone_number": "985-446-6284",
            "fax_number": "985-447-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 SAINT MARY ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012639",
            "telephone_number": "985-446-9565",
            "fax_number": "985-446-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIBODEAUX ORTHOPEDIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "MAKI",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-446-9565",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEIL-MAKI MD PT-SRVS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.