NPIMap

Organization Active NPI

Washington Physical Therapy, LLC.

  • Physical Therapist
  • Bogalusa, LA
National Provider Identifier
1316996804
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WASHINGTON PHYSICAL THERAPY, LLC.
Practice address
2775 S Columbia Rd
Bogalusa, LA 70427-7961
Phone
(985) 735-0059
Fax
(985) 735-0067
NPI assigned
May 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Prof. Victor Joseph Varisco, OT
Title
Managing Member / OT
Phone
(985) 735-0059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2775 S Columbia Rd
Bogalusa, LA 70427-7961

Mailing address

2775 S Columbia Rd
Bogalusa, LA 70427-7961
Phone (985) 735-0059

National Provider Directory

National Provider Directory

Locations

2775 S Columbia St
Bogalusa, LA 70427
Phone (337) 993-0993

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316996804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 S COLUMBIA RD",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704277961",
            "telephone_number": "985-735-0059",
            "fax_number": "985-735-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 S COLUMBIA RD",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704277961",
            "telephone_number": "985-735-0059",
            "fax_number": "985-735-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON PHYSICAL THERAPY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VARISCO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGING MEMBER / OT",
        "authorized_official_telephone_number": "985-735-0059",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.