Active NPI
Justin Stanton
- Orthopedic Physical Therapist
- Slidell, LA
National Provider Identifier
1194574640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 11556
- Practice address
- 114 Gause Blvd W
Slidell, LA 70460-2625 - Phone
- (985) 607-6363
- Fax
- (985) 607-6364
- NPI assigned
- May 16, 2024
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 11556 | LA | Primary |
Addresses
Primary practice location
114 Gause Blvd W
Slidell, LA 70460-2625
Mailing address
154 Cypress Lakes Dr
Slidell, LA 70458-6242
Phone (985) 607-5132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11556 | LA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1194574640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 CYPRESS LAKES DR",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704586242",
"telephone_number": "985-607-5132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 GAUSE BLVD W",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704602625",
"telephone_number": "985-607-6363",
"fax_number": "985-607-6364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANTON",
"first_name": "JUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-16",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "LA",
"license": "11556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.