DJ Alex Rehabilitative Care LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

019475 Issued in LA

Legal business name

DJ ALEX REHABILITATIVE CARE LLC

Practice address

2010 Oxford PL
Bossier City, LA 71111-5503

Phone

(318) 221-2535

NPI assigned

Jan 28, 2008

Organization subpart

No

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

Authorized official

Name

Dalna Rodgers

Title

Manager

Phone

(318) 221-2535

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1316124860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 OXFORD PL",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115503",
            "telephone_number": "318-221-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 OXFORD PL",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115503",
            "telephone_number": "318-221-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJ ALEX REHABILITATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "DALNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "318-221-2535"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "019475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.