Active NPI
Jackson Ladner, PT, DPT
- Physical Therapist
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11240
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11240 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Region Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| Synergy Physical Therapy & Performance | Physical Therapist | Current | Accepting new patients |
| St. Bernard Physical Therapy Clinic, Inc. | Physical Therapist | Past | Accepting new patients |
| Synergy Physical Therapy & Performance III, LLC | Physical Therapist | Past | Accepting new patients |
| Magnolia Physical Therapy, LLC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Luling, LA
- NPI 1407829252
-
- Physical Therapist
- Harahan, LA
- NPI 1699259432
-
- Physical Therapist
- Harahan, LA
- NPI 1316083447
-
- Physical Therapist
- Chalmette, LA
- NPI 1225350192
-
- Physical Therapy Clinic/Center
- New Orleans, LA
- NPI 1922711878
Physical Therapist
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.