NPIMap

Organization Active NPI

Tri-State Physical Therapy Number 1 Inc

Doing business as Tri-State Physical

  • Physical Therapy Clinic/Center
  • Shreveport, LA
National Provider Identifier
1326099540
Registry record updated Sep 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TRI-STATE PHYSICAL THERAPY NUMBER 1 INC
Doing business as
Tri-State Physical
Practice address
8660 Fern Ave Ste 160
Shreveport, LA 71105-5694
Phone
(318) 631-7999
Fax
(318) 631-9528
NPI assigned
May 12, 2006
Last updated
Sep 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2017

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

Authorized official

Name
Mr. Dan B Turner, PT
Title
President/Administrator
Phone
(318) 631-7999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

8660 Fern Ave Ste 160
Shreveport, LA 71105-5694

Mailing address

P O Box 52038
Shreveport, LA 71135-2038
Phone (318) 631-7999

Other identifiers 1

IdentifierTypeStateIssuer
5C749OtherLAMEDICARE

Other names 1

  • TRI-STATE PHYSICAL Doing business as

National Provider Directory

National Provider Directory

Locations

2906 Plantation Dr
Bossier City, LA 71111
Phone (318) 631-7999

1610 E Bert Kouns Industrial Loop
Ste A
Shreveport, LA 71105
Phone (318) 631-7999

8660 Fern Ave
Ste 160
Shreveport, LA 71105
Phone (318) 631-7999

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505088000000",
    "number": "1326099540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 52038",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711352038",
            "telephone_number": "318-631-7999",
            "fax_number": "318-631-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 FERN AVE STE 160",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055694",
            "telephone_number": "318-631-7999",
            "fax_number": "318-631-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE PHYSICAL THERAPY NUMBER 1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2017-09-11",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "318-631-7999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "5C749",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRI-STATE PHYSICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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, 2017; 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.