Calcasieu Rehab and Sports Therapy

Primary specialty

SpecialistTaxonomy code 174400000X

License

00591 Issued in LA

Legal business name

CALCASIEU REHAB AND SPORTS THERAPY

Practice address

217 Sam Houston Jones Pkwy Ste 103
Lake Charles, LA 70611-5644

Phone

(337) 217-0997

Fax

(337) 217-0998

NPI assigned

Apr 11, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Michael V Moss, PT

Title

Physical Therapist

Phone

(337) 217-0997

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1275823320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 OAK PARK BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017864",
            "telephone_number": "337-310-5116",
            "fax_number": "337-310-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SAM HOUSTON JONES PKWY STE 103",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706115644",
            "telephone_number": "337-217-0997",
            "fax_number": "337-217-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALCASIEU REHAB AND SPORTS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "337-217-0997",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "00591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calcasieu Parish Police Jury
• Calcasieu Parish School Board
• Calcasieu Parish School Board
• Calcasieu Parish Voluntary Council on Aging, Inc.
• Calcasieu Rehab & Sports Therapy
• Calcasieu Spinal Care, Inc.
• Calcasieu Surgical Anesthesia, LLC
• Calcasieu Urgent Care LLC
• Calcasieu Urgent Care LLC
• Calcasieu Urgent Care LLC

• Specialist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.