Organization Active NPI

Health Quest Physical Therapy

  • Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1255407193
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HEALTH QUEST PHYSICAL THERAPY
Practice address
12180 Greenwell Springs Road
Baton Rouge, LA 70814
Phone
(225) 275-9293
Fax
(225) 275-7671
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Mr. Ellis Eddy Edward Johnson III, PT
Title
Physical Therapists Owner
Phone
(225) 791-7770

Specialties & licenses 1

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

Addresses

Primary practice location

12180 Greenwell Springs Road
Baton Rouge, LA 70814

Mailing address

PO Box 392
Watson, LA 70786
Phone (225) 275-9293

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040621000770 LA Part B Supplier - Clinic/Group Practice 9133104516 Receives reassigned benefits from 3 practitioners
Practice locations: Baton Rouge, LA; Denham Springs, LA

National Provider Directory

National Provider Directory

Locations

10200 Greenwell Springs Rd
Baton Rouge, LA 70814
Phone (225) 275-9293

12180 Greenwell Springs Rd
Baton Rouge, LA 70814
Phone (225) 261-7915

35055 LA Highway 16
Ste 1C
Denham Springs, LA 70706
Phone (225) 791-7770

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": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1255407193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392",
            "city": "WATSON",
            "state": "LA",
            "postal_code": "70786",
            "telephone_number": "225-275-9293",
            "fax_number": "225-275-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12180 GREENWELL SPRINGS ROAD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70814",
            "telephone_number": "225-275-9293",
            "fax_number": "225-275-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH QUEST PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ELLIS EDDY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PHYSICAL THERAPISTS OWNER",
        "authorized_official_telephone_number": "225-791-7770",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.