Individual provider Active NPI

Jackson Ladner, PT, DPT

  • Physical Therapist
  • New Orleans, LA
National Provider Identifier
1346947512
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11240 Issued in LA
Practice address
10001 Lake Forest Blvd Ste 102
New Orleans, LA 70127-6204
Phone
(504) 281-4521
NPI assigned
Feb 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11240 LA Primary

Addresses

Primary practice location

10001 Lake Forest Blvd Ste 102
New Orleans, LA 70127-6204

Mailing address

10001 Lake Forest Blvd Ste 102
New Orleans, LA 70127-6204

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230405000037 LA Practitioner - Physical Therapist in Private Practice 7012382013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
River Region Rehab LLCGroup PAC ID 4587623764, 10 clinicians
Synergy Physical Therapy and PerformanceGroup PAC ID 1456604321, 3 clinicians

Practice addresses (Care Compare)

10001 Lake Forest Blvd
Suite 102
New Orleans, LA 70127-6204
Phone (504) 281-4521

1827 Hickory Ave
Suite B
Harahan, LA 70123-5613
Phone (504) 360-2584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11240LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
River Region Rehab, LLC Physical Therapist CurrentSince Feb 22, 2023 Accepting new patients
Synergy Physical Therapy & Performance Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
St. Bernard Physical Therapy Clinic, Inc. Physical Therapist PastSince Feb 12, 2023 Accepting new patients
Synergy Physical Therapy & Performance III, LLC Physical Therapist PastSince Jan 8, 2023 Accepting new patients
Magnolia Physical Therapy, LLC Physical Therapist PastSince Jun 4, 2022 Accepting new patients

Locations

1972 Ormond Blvd
Ste D
Destrehan, LA 70047
Phone (985) 307-0925

3820 Lapalco Blvd
Ste 100
Harvey, LA 70058
Phone (404) 702-0292

12371 Highway 90
Ste D
Luling, LA 70070
Phone (985) 331-1001

1827 Hickory Ave
Ste B
New Orleans, LA 70123
Phone (504) 360-2584

2220 Constitution St
New Orleans, LA 70114
Phone (504) 841-9977

10001 Lake Forest Blvd
Ste 102
New Orleans, LA 70127
Phone (504) 281-4521

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1346947512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 LAKE FOREST BLVD STE 102",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701276204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 LAKE FOREST BLVD STE 102",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701276204",
            "telephone_number": "504-281-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADNER",
        "first_name": "JACKSON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.