Firm Foundation Pediatric Ther

Primary specialty

Speech/Language/Hearing Specialist/TechnologistTaxonomy code 235500000X

Legal business name

FIRM FOUNDATION PEDIATRIC THER

Practice address

1316 E Kentucky Ave
Ruston, LA 71270-6609

Phone

(318) 224-9081

NPI assigned

Jul 30, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly A Roach, DPTNPI 1295961910

Title

Owner

Phone

(318) 224-9081

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly A Roach, D.P.T.

  • Physical Therapist
  • Ruston, LA
  • NPI 1295961910
  NPD Authorized official

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1376216788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 ROACH RD",
            "city": "CHOUDRANT",
            "state": "LA",
            "postal_code": "712273630",
            "telephone_number": "318-918-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 E KENTUCKY AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712706609",
            "telephone_number": "318-224-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRM FOUNDATION PEDIATRIC THER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-224-9081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "235500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1884600",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.easystepsapp.com",
            "affiliation": "N",
            "endpointDescription": "Easy Steps",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "683 Roach Rd",
            "city": "Choudrant",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712273630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "advancedmd.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1316 E Kentucky Ave",
            "city": "Ruston",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712706609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Hilton Ferguson II, LPC
• Melvina Fields
• Regina Fields
• Avery-Grace Files, SLP
• Firm Foundation Occupational Therapy, LLC
• Firm Foundation Speech Therapy
• First Step Counceling LLC
• Breanna Fisher, MHP
• Lauren W. Fix, PH.D.
• Demarius Fleming

• Speech/Language/Hearing Specialist/Technologist in Ruston, LA
• Providers in Ruston, LA by specialty
• Speech/Language/Hearing Specialist/Technologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.