Organization Active NPI

Matrix Therapy Solutions, LLC

  • Multi-Specialty Clinic/Center
  • Coushatta, LA
National Provider Identifier
1295047769
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MATRIX THERAPY SOLUTIONS, LLC
Practice address
5024 Cut Off Rd Ste B
Coushatta, LA 71019-5116
Phone
(318) 560-7300
Fax
(318) 932-7946
NPI assigned
Jul 13, 2010
Last updated
Jul 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Mrs. Bridgette Neal Bates, OTNPI 1740592211
Title
Manager/Member
Phone
(318) 560-7300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

5024 Cut Off Rd Ste B
Coushatta, LA 71019-5116

Mailing address

1035 Hickory Dr
Coushatta, LA 71019-8164
Phone (318) 560-7300

National Provider Directory

National Provider Directory

Locations

5024 Cut Off Rd
Ste B
Coushatta, LA 71019
Phone (318) 560-7300

620 Rush St
Coushatta, LA 71019
Phone (318) 932-7926

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1295047769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 HICKORY DR",
            "city": "COUSHATTA",
            "state": "LA",
            "postal_code": "710198164",
            "telephone_number": "318-560-7300",
            "fax_number": "318-932-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 CUT OFF RD STE B",
            "city": "COUSHATTA",
            "state": "LA",
            "postal_code": "710195116",
            "telephone_number": "318-560-7300",
            "fax_number": "318-932-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX THERAPY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "BRIDGETTE",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "318-560-7300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coushatta, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.