Organization Active NPI

Anatomix Physical Therapy Inc

  • Physical Therapist
  • Hammond, LA
National Provider Identifier
1376577015
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ANATOMIX PHYSICAL THERAPY INC
Practice address
1100 C M Fagan Dr
Suite 103
Hammond, LA 70403-5938
Phone
(985) 542-6664
Fax
(985) 542-6428
NPI assigned
Jul 10, 2006
Last updated
Jul 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Michael C Conlin, PTNPI 1396779252
Title
Owner
Phone
(985) 542-6664

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
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1100 C M Fagan Dr
Suite 103
Hammond, LA 70403-5938

Mailing address

1100 C M Fagan Dr
Suite 103
Hammond, LA 70403-5938
Phone (985) 542-6664

Other identifiers 1

IdentifierTypeStateIssuer
C3657OtherLABLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040816001116 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3971576133 Receives reassigned benefits from 6 practitioners
Practice locations: Hammond, LA

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1376577015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 C M FAGAN DR",
            "address_2": "SUITE 103",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035938",
            "telephone_number": "985-542-6664",
            "fax_number": "985-542-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 C M FAGAN DR",
            "address_2": "SUITE 103",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035938",
            "telephone_number": "985-542-6664",
            "fax_number": "985-542-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANATOMIX PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "CONLIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-542-6664",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C3657",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.