Organization Active NPI

St. John Physical Therapy, LLC

  • Durable Medical Equipment & Medical Supplies
  • La Place, LA
National Provider Identifier
1346705753
Registry record updated Feb 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ST. JOHN PHYSICAL THERAPY, LLC
Practice address
504 Rue de Sante
La Place, LA 70068-5418
Phone
(985) 652-9515
Fax
(985) 652-8765
NPI assigned
Feb 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2019

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

Authorized official

Name
Derward Norsworthy, PTNPI 1134221591
Title
President
Phone
(985) 652-9515

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

504 Rue de Sante
La Place, LA 70068-5418

Mailing address

504 Rue de Sante
La Place, LA 70068-5418
Phone (985) 652-9515

National Provider Directory

National Provider Directory

Locations

10900 Highway 3125
Lutcher, LA 70071
Phone (225) 869-9632

1959 Highway 3125
Ste 1
Lutcher, LA 70071
Phone (225) 869-4447

Practitioners & affiliated clinicians

Practitioners 2

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": "1549756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549756800000",
    "number": "1346705753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 RUE DE SANTE",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700685418",
            "telephone_number": "985-652-9515",
            "fax_number": "985-652-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 RUE DE SANTE",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700685418",
            "telephone_number": "985-652-9515",
            "fax_number": "985-652-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-10",
        "last_updated": "2019-02-10",
        "status": "A",
        "authorized_official_last_name": "NORSWORTHY",
        "authorized_official_first_name": "DERWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-652-9515",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Place, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2019; 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.