NPIMap

Organization Active NPI

Downtown Physical Therapy and Industrial Center LLC

  • Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1255413480
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02074 Issued in LA
Legal business name
DOWNTOWN PHYSICAL THERAPY AND INDUSTRIAL CENTER LLC
Practice address
16645 Highland Rd
Suite L
Baton Rouge, LA 70810-6567
Phone
(225) 756-2722
Fax
(225) 756-4431
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Mr. Scott Mitchell Larson, PTNPI 1407938616
Title
Owner
Phone
(225) 756-2722

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 02074 LA Primary

Addresses

Primary practice location

16645 Highland Rd
Suite L
Baton Rouge, LA 70810-6567

Mailing address

16645 Highland Rd
Suite L
Baton Rouge, LA 70810-6567
Phone (225) 756-2722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071128000832 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0244329274 Receives reassigned benefits from 5 practitioners
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Locations

16645 Highland Rd
Ste L
Baton Rouge, LA 70810
Phone (225) 753-5011

Practitioners & affiliated clinicians

Practitioners 6

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1255413480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16645 HIGHLAND RD",
            "address_2": "SUITE L",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708106567",
            "telephone_number": "225-756-2722",
            "fax_number": "225-756-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16645 HIGHLAND RD",
            "address_2": "SUITE L",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708106567",
            "telephone_number": "225-756-2722",
            "fax_number": "225-756-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN PHYSICAL THERAPY AND INDUSTRIAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-756-2722",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "02074",
            "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 May 21, 2008; 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.