Organization Active NPI

Desoto Physical Therapy, L.L.C.

  • Physical Therapy Clinic/Center
  • Stonewall, LA
National Provider Identifier
1326419177
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
08023 Issued in LA
Legal business name
DESOTO PHYSICAL THERAPY, L.L.C.
Practice address
318 Plantation Hills Blvd
Stonewall, LA 71078-9415
Phone
(318) 775-9870
Fax
(318) 775-9884
NPI assigned
Oct 19, 2015
Last updated
Aug 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
William Douglas JamesNPI 1124403555
Title
Owner
Phone
(318) 775-9870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 08023 LA Primary

Addresses

Primary practice location

318 Plantation Hills Blvd
Stonewall, LA 71078-9415

Mailing address

318 Plantation Hills Blvd
Stonewall, LA 71078
Phone (318) 775-9870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160129000477 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6204139926 Receives reassigned benefits from 7 practitioners
Practice locations: Stonewall, LA

National Provider Directory

National Provider Directory

Locations

1820 E Ray Rd
Chandler, AZ 85225
Phone (480) 654-0992

2070 Highway 171
Ste A
Stonewall, LA 71078
Phone (318) 775-9870

2070 Highway 171
Ste C
Stonewall, LA 71078
Phone (318) 775-9870

Practitioners & affiliated clinicians

Practitioners 10

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": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1326419177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 PLANTATION HILLS BLVD",
            "city": "STONEWALL",
            "state": "LA",
            "postal_code": "71078",
            "telephone_number": "318-775-9870",
            "fax_number": "318-775-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 PLANTATION HILLS BLVD",
            "city": "STONEWALL",
            "state": "LA",
            "postal_code": "710789415",
            "telephone_number": "318-775-9870",
            "fax_number": "318-775-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO PHYSICAL THERAPY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-775-9870"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "08023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stonewall, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.