Individual provider Active NPI

Joseph Loiacano, P.T.A.

  • Physical Therapy Assistant
  • Shreveport, LA
National Provider Identifier
1295929206
Registry record updated Sep 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2048800 Issued in TX
Practice address
2620 Centenary Blvd
Suite 202
Shreveport, LA 71104-3356
Phone
(866) 730-0707
NPI assigned
Sep 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2048800 TX Primary

Addresses

Primary practice location

2620 Centenary Blvd
Suite 202
Shreveport, LA 71104-3356

Mailing address

1205 Turfway Park Dr
Robinson, TX 76706-5679
Phone (254) 662-6474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2048800TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1188777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188777600000",
    "number": "1295929206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 TURFWAY PARK DR",
            "city": "ROBINSON",
            "state": "TX",
            "postal_code": "767065679",
            "telephone_number": "254-662-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 CENTENARY BLVD",
            "address_2": "SUITE 202",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043356",
            "telephone_number": "866-730-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOIACANO",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-03",
        "last_updated": "2007-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2048800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2007; 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.