Active NPI
Chelsy B. Parker, P. T.
- Physical Therapist
- Shreveport, LA
National Provider Identifier
1306950423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 06402
- Practice address
- 663 Jordan St
Shreveport, LA 71101-4748 - Phone
- (318) 222-8892
- Fax
- (318) 222-8893
- NPI assigned
- Aug 18, 2006
- Sex
- Female
- 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 | 06402 | LA | Primary |
Addresses
Primary practice location
663 Jordan St
Shreveport, LA 71101-4748
Mailing address
663 Jordan St
Shreveport, LA 71101-4748
Phone (318) 222-8892
Other practice location 1
1200 S Farmerville St
Ruston, LA 71270-5941
Phone (318) 251-6103 ext. 103
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006858 | Medicaid | LA | |
| 1599522 | Other | LA | LA PROVIDER # |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06402 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Texas Limited Partnership | Past | Accepting new patients | |
| Green Clinic LLC | Past | Accepting new patients | |
| Arch Physical Therapy & Wellness LLC | Physical Therapist | Past | Accepting new patients |
| CLHG-Ruston LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71614
Organizations & group practices 4
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.
-
- Physical Therapist
- Shreveport, LA
- NPI 1457125940
-
- Family Medicine Physician
- Ruston, LA
- NPI 1942181276
-
- Physical Therapy Clinic/Center
- Ruston, LA
- NPI 1891801601
-
- Physical Therapy Clinic/Center
- Houston, TX
- NPI 1356304323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599782400000",
"number": "1306950423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "663 JORDAN ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014748",
"telephone_number": "318-222-8892",
"fax_number": "318-222-8893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "663 JORDAN ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014748",
"telephone_number": "318-222-8892",
"fax_number": "318-222-8893"
}
],
"practiceLocations": [
{
"address_1": "1200 S Farmerville St",
"address_purpose": "LOCATION",
"city": "Ruston",
"state": "LA",
"postal_code": "712705941",
"country_code": "US",
"telephone_number": "318-251-6103 x103",
"fax_number": "318-251-6141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKER",
"first_name": "CHELSY",
"middle_name": "B.",
"name_prefix": "Ms.",
"credential": "P. T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "06402",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1006858",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA PROVIDER #",
"identifier": "1599522",
"state": "LA"
}
],
"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 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.