Organization Active NPI

Saint Nicholas Center for Early Intervention

  • Physical Therapist
  • Lake Charles, LA
National Provider Identifier
1245592187
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
08014F Issued in LA
Legal business name
SAINT NICHOLAS CENTER FOR EARLY INTERVENTION
Practice address
314 Broad St
Lake Charles, LA 70601-4224
Phone
(337) 491-0800
NPI assigned
Jun 15, 2012
Last updated
Jun 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Christy Jones
Title
Executive
Phone
(337) 491-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 08014F LA Primary

Addresses

Primary practice location

314 Broad St
Lake Charles, LA 70601-4224

Mailing address

314 Broad St
Lake Charles, LA 70601-4224

National Provider Directory

National Provider Directory
Tax ID family
Saint Nicholas Center for Early Intervention4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

314 Broad St
Lake Charles, LA 70601
Phone (337) 491-0800

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1245592187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 BROAD ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706014224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 BROAD ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706014224",
            "telephone_number": "337-491-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT NICHOLAS CENTER FOR EARLY INTERVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "337-491-0800"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08014F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.