Organization Active NPI

Ujima Wellness and Rehab

  • Physical Therapist
  • Monroe, LA
National Provider Identifier
1316689052
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
UJIMA WELLNESS AND REHAB
Practice address
3825 Old Sterlington Rd
Monroe, LA 71203-3024
Phone
(833) 778-5642
NPI assigned
Apr 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Authorized official

Name
Dr. Lisa Delores Vanhoose, PHD, MPH, PT
Title
Ceo
Phone
(833) 778-5642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3825 Old Sterlington Rd
Monroe, LA 71203-3024

Mailing address

3825 Old Sterlington Rd
Monroe, LA 71203-3024
Phone (833) 778-5642

National Provider Directory

National Provider Directory

Locations

3825 Old Sterlington Rd
Monroe, LA 71203
Phone (318) 599-9508

Practitioners & affiliated clinicians

Practitioners 1

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": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1316689052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 OLD STERLINGTON RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712033024",
            "telephone_number": "833-778-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 OLD STERLINGTON RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712033024",
            "telephone_number": "833-778-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UJIMA WELLNESS AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "VANHOOSE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "DELORES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-778-5642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MPH, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.