Active NPI
Justin Thomas Lofton, PTA, LMT
- Physical Therapy Assistant
- Baton Rouge, LA
National Provider Identifier
1255912663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A8143
- Practice address
- 215 Staring LN
Baton Rouge, LA 70810-4064 - Phone
- (225) 416-2733
- NPI assigned
- Apr 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | LA9243 | LA | |
| Physical Therapy Assistant | 225200000X | A8143 | LA | Primary |
Addresses
Primary practice location
215 Staring LN
Baton Rouge, LA 70810-4064
Mailing address
215 Staring LN
Baton Rouge, LA 70810-4064
Phone (225) 416-2733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A8143 | LA | MD | Physical Therapy Assistant |
| LA9243 | LA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618531200000",
"number": "1255912663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 STARING LN",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708104064",
"telephone_number": "225-416-2733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 STARING LN",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708104064",
"telephone_number": "225-416-2733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOFTON",
"first_name": "JUSTIN",
"middle_name": "THOMAS",
"credential": "PTA, LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-16",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "LA",
"license": "LA9243",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "LA",
"license": "A8143",
"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 Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.