NPIMap

Organization Active NPI

Gerald J. Leglue Jr., M.D., Apmc

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Alexandria, LA
National Provider Identifier
1285031633
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
018498 Issued in LA
Legal business name
GERALD J. LEGLUE JR., M.D., APMC
Practice address
1270 Southampton Dr
Alexandria, LA 71303-3055
Phone
(318) 442-8007
Fax
(318) 442-8334
NPI assigned
Dec 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Christi Antee
Title
Practice Manager
Phone
(318) 442-8007

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X ACU.200012 LA
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2081S0010X 018498 LA Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 01110F LA

Addresses

Primary practice location

1270 Southampton Dr
Alexandria, LA 71303-3055

Mailing address

1270 Southampton Dr
Alexandria, LA 71303-3055
Phone (318) 442-8007

Other identifiers 1

IdentifierTypeStateIssuer
E30276OtherLAUPIN

Other names 1

  • Leglue Physical Medicine Center Doing business as

National Provider Directory

National Provider Directory

Locations

1270 Southampton Dr
Alexandria, LA 71303
Phone (318) 442-8007

Practitioners & affiliated clinicians

Practitioners 1

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": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1285031633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 SOUTHAMPTON DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033055",
            "telephone_number": "318-442-8007",
            "fax_number": "318-442-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 SOUTHAMPTON DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033055",
            "telephone_number": "318-442-8007",
            "fax_number": "318-442-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD J. LEGLUE JR., M.D., APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "ANTEE",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "318-442-8007"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "LA",
            "license": "ACU.200012",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "LA",
            "license": "018498",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "01110F",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E30276",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leglue Physical Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.