Mid City Physical Therapy and Wellness

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MID CITY PHYSICAL THERAPY AND WELLNESS

Practice address

4000 Canal St
New Orleans, LA 70119-6021

Phone

(504) 301-0577

NPI assigned

Jul 22, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Gary Bordes, PTA

Title

Owner

Phone

(504) 258-5955

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 4

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

• David Lawrence Tucker Jr., RPT

  • Physical Therapist
  • Metairie, LA
  • NPI 1275707176
  Medicare reassignment Care Compare group NPD
• Lila Ann Crowson, MPT

  • Physical Therapist
  • Hoffman Estates, IL
  • NPI 1447296413

  LA

  Medicare reassignment Care Compare group NPD
• Elizabeth Anne Haile, PTA

  • Physical Therapy Assistant
  • New Orleans, LA
  • NPI 1225703531
  NPD
• Hannah Guise, PTA

  • Physical Therapy Assistant
  • New Orleans, LA
  • NPI 1932021565
  NPD (past)

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1235514142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196021",
            "telephone_number": "504-301-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196021",
            "telephone_number": "504-301-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID CITY PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "BORDES",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-258-5955",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Mickal, PA-C
• Daria Mickens, DPT, PT
• Claire Elaine Mickey, MD
• Michael Lee Mickey
• Mid City Counseling, LLC
• Mid City Smiles Family Dentistry
• Mid-City New Orleans Dialysis Partnership, LLC
• Mid-South Radiology LLC
• Mid-Town Medical
• Midcity Premier Medical Rehab

• Physical Therapist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.