Active NPI
Casey Ryan
- Physical Therapist
- Jonesville, LA
National Provider Identifier
1285085050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 09374
- Practice address
- 2801 Fourth Street, Suite 4
Jonesville, LA 71343 - Phone
- (318) 339-6401
- Fax
- (318) 339-6403
- NPI assigned
- Jun 23, 2016
- Sex
- Male
- 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 | 09374 | LA | Primary |
Addresses
Primary practice location
2801 Fourth Street, Suite 4
Jonesville, LA 71343
Mailing address
2801 Fourth Street, Suite 4
Jonesville, LA 71343
Phone (318) 339-6401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2801 4TH St
Jonesville, LA 71343-2026
Phone (318) 339-6401
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09374 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miss Lou Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
1400 Highway 65
Ferriday, LA 71334
Phone (318) 757-1881
2801 Fourth St
Jonesville, LA 71343
Phone (318) 339-6401
2801 Fourth St
Ste 4
Jonesville, LA 71343
Phone (318) 339-6401
Interoperability endpoints
- https://api.platform.athenahealth.com/10610/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1285085050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 FOURTH STREET, SUITE 4",
"city": "JONESVILLE",
"state": "LA",
"postal_code": "71343",
"telephone_number": "318-339-6401",
"fax_number": "318-339-6403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 FOURTH STREET, SUITE 4",
"city": "JONESVILLE",
"state": "LA",
"postal_code": "71343",
"telephone_number": "318-339-6401",
"fax_number": "318-339-6403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "CASEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-23",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "09374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.