Active NPI
Anatomix Physical Therapy Inc
- Physical Therapist
- Hammond, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael C Conlin, PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C3657 | Other | LA | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryOwnership & 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.
-
dba Anatomix Physical Therapy
- Physical Therapist
- Mandeville, LA
- NPI 1114462694
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.
-
- Physical Therapist
- Hammond, LA
- NPI 1396779252
-
- Physical Therapist
- Hammond, LA
- NPI 1861182412
-
- Physical Therapist
- Hammond, LA
- NPI 1831938646
-
- Physical Therapist
- Ponchatoula, LA
- NPI 1508245606
-
- Physical Therapist
- Shreveport, LA
- NPI 1801053343
-
- Physical Therapist
- Hammond, LA
- NPI 1356074918
-
- Physical Therapist
- Hammond, LA
- NPI 1598691685
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.