Johnnie Adolph, DPT

Individual provider Active NPI Physical Therapist · New Orleans, LA

NPI 1346392016 · NPPES record last updated Jun 24, 2013

Key facts

NPI
1346392016
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
5941 Bullard Ave
Suite 2
New Orleans, LA 70128-2818
Phone
(504) 244-0088
Fax
(504) 244-0077
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Victory Physical Therapy & Rehab Clinic Past
since Sep 23, 2010
Accepting new patients
Famson Rehabilitation Company Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Yes

Addresses

Primary practice location

5941 Bullard Ave
Suite 2
New Orleans, LA 70128-2818

Mailing address

5941 Bullard Ave
Suite 1
New Orleans, LA 70128-2818
Phone (504) 244-0088

Other providers in New Orleans, LA

All providers in New Orleans, LA · Physical Therapist in Louisiana

Sources for this page

Verify at the official NPI Registry.