River City Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

3546520001 Issued in LA

Legal business name

RIVER CITY PHYSICAL THERAPY, INC.

Practice address

2208 Benton Rd
Bossier City, LA 71111-3404

Phone

(318) 747-2200

Fax

(318) 747-2255

NPI assigned

Oct 4, 2006

Last updated

Mar 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jimmy Wayne Harris Jr., P. T.NPI 1558443226

Title

Physical Therapist-Owner

Phone

(318) 747-2200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jimmy Wayne Harris Jr., P. T.

  • Orthopedic Physical Therapist
  • Bossier City, LA
  • NPI 1558443226
  Authorized official Same address or phone

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1306931282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 BENTON RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113404",
            "telephone_number": "318-747-2200",
            "fax_number": "318-747-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 BENTON RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113404",
            "telephone_number": "318-747-2200",
            "fax_number": "318-747-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST-OWNER",
        "authorized_official_telephone_number": "318-747-2200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "P. T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "3546520001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelia Kay Rideau, REGISTERED NURSE
• Kellie Rilling, LPC
• Douglas E Rimmer Jr., M.D.
• Lea J. Rimmer, NP
• River Cities Urgent Care LLC
• Taylor Rivers
• Riverview Care Center, LLC (Riverview Care Center)
• Road2Wellness, LLC
• Heather Roan
• Leisa Joan Roan, NP

• Physical Therapy Clinic/Center in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Physical Therapy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.