Active NPI
Elise McDonner Friddle, DPT, PT
- Physical Therapist
- New Roads, LA
National Provider Identifier
1275194243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 09628
- Practice address
- 400 Hospital Rd
New Roads, LA 70760-2623 - Phone
- (225) 638-4404
- NPI assigned
- Jun 21, 2019
- Last updated
- Jun 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 09628 | LA | Primary |
Addresses
Primary practice location
400 Hospital Rd
New Roads, LA 70760-2623
Mailing address
6764 Lone Oak Dr
Erwinville, LA 70729-2642
Phone (225) 229-5517
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09628 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1275194243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6764 LONE OAK DR",
"city": "ERWINVILLE",
"state": "LA",
"postal_code": "707292642",
"telephone_number": "225-229-5517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HOSPITAL RD",
"city": "NEW ROADS",
"state": "LA",
"postal_code": "707602623",
"telephone_number": "225-638-4404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIDDLE",
"first_name": "ELISE",
"middle_name": "MCDONNER",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-21",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "09628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Roads, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.