NPIMap

Organization Active NPI

Physiofit Louisiana LLC

  • Physical Therapist
  • Slidell, LA
National Provider Identifier
1376180620
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSIOFIT LOUISIANA LLC
Practice address
2965 Gause Blvd E
Slidell, LA 70461-4154
Phone
(985) 231-6475
NPI assigned
Dec 5, 2019
Last updated
Apr 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
Bryan Bargainer
Title
Cfo
Phone
(423) 238-8923

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X

Addresses

Primary practice location

2965 Gause Blvd E
Slidell, LA 70461-4154

Mailing address

1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

200 N Military Rd
Slidell, LA 70461-1624
Phone (985) 590-5029

Other practice location 2

4038 Pontchartrain Dr
Slidell, LA 70458-5136
Phone (985) 466-4011

Other practice location 3

1150 Robert Blvd Ste 232
Slidell, LA 70458-2005
Phone (985) 288-1509

Other practice location 4

1810 Lindberg Dr Ste 3400
Slidell, LA 70458-8157
Phone (985) 718-5339

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200420000461 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9830529650 Receives reassigned benefits from 69 practitioners
Practice locations: Broussard, LA; Delcambre, LA; Lafayette, LA; Slidell, LA

National Provider Directory

National Provider Directory
Tax ID family
Physiofit Louisiana LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

484 Albertson Pkwy
Broussard, LA 70518

484 Albertson Pkwy
Ste A
Broussard, LA 70518
Phone (337) 839-8883

504 W Highway 14
Delcambre, LA 70528
Phone (337) 685-1770

1700 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (337) 269-1161

5808 Cameron St
Scott, LA 70583

1150 Robert Blvd
Ste 232
Slidell, LA 70458
Phone (985) 288-1509

1810 Lindberg Dr
Ste 3400
Slidell, LA 70458
Phone (985) 641-2996

2965 Gause Blvd E
Slidell, LA 70461
Phone (985) 231-6475

Practitioners & affiliated clinicians

Practitioners 76

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.

View all 76

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1376180620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 GAUSE BLVD E",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614154",
            "telephone_number": "985-231-6475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Military Rd",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704611624",
            "country_code": "US",
            "telephone_number": "985-590-5029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4038 Pontchartrain Dr",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704585136",
            "country_code": "US",
            "telephone_number": "985-466-4011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 Robert Blvd Ste 232",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704582005",
            "country_code": "US",
            "telephone_number": "985-288-1509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1810 Lindberg Dr Ste 3400",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704588157",
            "country_code": "US",
            "telephone_number": "985-718-5339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSIOFIT LOUISIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "BARGAINER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "423-238-8923"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.