Active NPI
Physiofit Physical Therapy, LLC
- Physical Therapist
- New Orleans, LA
National Provider Identifier
1346855343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PHYSIOFIT PHYSICAL THERAPY, LLC
- Practice address
- 4001 General Degaulle Dr Ste B
New Orleans, LA 70114-8232 - Phone
- (504) 766-9285
- Fax
- (504) 766-9285
- NPI assigned
- Sep 15, 2020
- Last updated
- Sep 15, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Johanneson
- Title
- VP Revenue Cycle Operations
- Phone
- (423) 238-2313
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary | |
| Occupational Therapist | 225X00000X | NU |
Addresses
Primary practice location
4001 General Degaulle Dr Ste B
New Orleans, LA 70114-8232
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other names 1
- PhysioFit - NOLA Algiers, LA
National Provider Directory
National Provider Directory- Tax ID family
- Physiofit Physical Therapy LLC
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600128000000",
"number": "1346855343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 GENERAL DEGAULLE DR STE B",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701148232",
"telephone_number": "504-766-9285",
"fax_number": "504-766-9285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSIOFIT PHYSICAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-15",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A",
"authorized_official_last_name": "JOHANNESON",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "VP REVENUE CYCLE OPERATIONS",
"authorized_official_telephone_number": "423-238-2313"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PhysioFit - NOLA Algiers, LA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.