Organization Active NPI

Studio P3, LLC

  • Physical Therapist
  • Shreveport, LA
National Provider Identifier
1215353115
Registry record updated Mar 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
07638 Issued in LA
Legal business name
STUDIO P3, LLC
Practice address
266 Ockley Dr
Shreveport, LA 71105-3025
Phone
(337) 580-0083
NPI assigned
Mar 16, 2014
Last updated
Mar 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2014

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

Authorized official

Name
Mrs. Suzannah York-Crump, PTNPI 1003046079
Title
Physical Therapist
Phone
(337) 580-0083

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 Therapist 225100000X 07638 LA Primary

Addresses

Primary practice location

266 Ockley Dr
Shreveport, LA 71105-3025

Mailing address

266 Ockley Dr
Shreveport, LA 71105-3025
Phone (337) 580-0083

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140916000515 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6507085099 Receives reassigned benefits from 3 practitioners
Practice locations: Shreveport, LA

National Provider Directory

National Provider Directory

Locations

266 Ockley Dr
Shreveport, LA 71105
Phone (318) 868-3268

266 Ockley Dr
#P3
Shreveport, LA 71105
Phone (337) 580-0083

6607 Line Ave
Ste F
Shreveport, LA 71106
Phone (318) 868-3268

855 Pierremont Rd
Ste 107
Shreveport, LA 71106
Phone (318) 868-3268

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1394928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394928000000",
    "number": "1215353115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 OCKLEY DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711053025",
            "telephone_number": "337-580-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 OCKLEY DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711053025",
            "telephone_number": "337-580-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDIO P3, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-16",
        "last_updated": "2014-03-16",
        "status": "A",
        "authorized_official_last_name": "YORK-CRUMP",
        "authorized_official_first_name": "SUZANNAH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "337-580-0083",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2014; 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.