Organization Active NPI

Sow & Reap Physical Therapy, LLC

  • Multi-Specialty Clinic/Center
  • Bossier City, LA
National Provider Identifier
1346858941
Registry record updated Jan 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SOW & REAP PHYSICAL THERAPY, LLC
Practice address
1743 Swan Lake Rd Ste E
Bossier City, LA 71111-5366
Phone
(318) 553-5022
Fax
(318) 594-3088
NPI assigned
Jul 20, 2020
Last updated
Jan 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2024

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

Authorized official

Name
Latonya P Mister, DPTNPI 1639317704
Title
Owner
Phone
(318) 553-5022

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
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

1743 Swan Lake Rd Ste E
Bossier City, LA 71111-5366

Mailing address

2008 Airline Dr Ste 300-288
Bossier City, LA 71111-2946
Phone (318) 553-5022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200918000451 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9032537311 Receives reassigned benefits from 1 practitioner
Practice locations: Bossier City, LA
O20241030002119 LA DME Supplier - Independently-Practicing Physical Therapist 9032537311 Practice locations: Bossier City, LA

National Provider Directory

National Provider Directory

Locations

1743 Swan Lake Rd
Ste E
Bossier City, LA 71111
Phone (318) 553-5022

2008 Airline Dr
Ste 300
Bossier City, LA 71111
Phone (318) 390-1800

2008 Airline Dr
Ste 300288
Bossier City, LA 71111

915 Olive St
Shreveport, LA 71104
Phone (318) 227-0810

Practitioners & affiliated clinicians

Practitioners 2

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": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704585600000",
    "number": "1346858941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 AIRLINE DR STE 300-288",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112946",
            "telephone_number": "318-553-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1743 SWAN LAKE RD STE E",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115366",
            "telephone_number": "318-553-5022",
            "fax_number": "318-594-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOW & REAP PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2024-01-07",
        "certification_date": "2024-01-07",
        "status": "A",
        "authorized_official_last_name": "MISTER",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-553-5022",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2024; 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.