Organization Active NPI

Prime Physical Therapy, LLC

  • Physical Medicine & Rehabilitation Physician
  • Baton Rouge, LA
National Provider Identifier
1295076917
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PRIME PHYSICAL THERAPY, LLC
Practice address
14608 S Harrells Ferry Rd
Baton Rouge, LA 70816-2926
Phone
(225) 388-5534
Fax
(225) 388-5537
NPI assigned
Mar 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Trinity Purvis Salter, PT, DMTNPI 1326266453
Title
Physical Therapy/Owner
Phone
(225) 388-5534

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Physical Therapy Clinic/Center 261QP2000X 06937 LA

Addresses

Primary practice location

14608 S Harrells Ferry Rd
Baton Rouge, LA 70816-2926

Mailing address

4606 Jones Creek Rd
Suite 150
Baton Rouge, LA 70817-1554
Phone (225) 388-5534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130702000110 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4688814254 Receives reassigned benefits from 1 practitioner
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Locations

9456 Jefferson Hwy
Ste C
Baton Rouge, LA 70809
Phone (225) 388-5534

14608 S Harrells Ferry Rd
Baton Rouge, LA 70816
Phone (225) 388-5534

14506 S Harrells Ferry Rd
Ste C
Baton Rouge, LA 70816
Phone (225) 388-5534

4606 Jones Creek Rd
Ste 150
Baton Rouge, LA 70817
Phone (225) 388-5534

Practitioners & affiliated clinicians

Practitioners 2

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": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1295076917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 JONES CREEK RD",
            "address_2": "SUITE 150",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708171554",
            "telephone_number": "225-388-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14608 S HARRELLS FERRY RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162926",
            "telephone_number": "225-388-5534",
            "fax_number": "225-388-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "SALTER",
        "authorized_official_first_name": "TRINITY",
        "authorized_official_middle_name": "PURVIS",
        "authorized_official_title_or_position": "PHYSICAL THERAPY/OWNER",
        "authorized_official_telephone_number": "225-388-5534",
        "authorized_official_credential": "PT, DMT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "06937",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.