Organization Active NPI

Orthopedic & Sports Physical Therapy Clinic of Lafayette Inc

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1376622365
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00497 Issued in LA
Legal business name
ORTHOPEDIC & SPORTS PHYSICAL THERAPY CLINIC OF LAFAYETTE INC
Practice address
245 N College Rd
Lafayette, LA 70506-4230
Phone
(337) 232-5301
Fax
(337) 237-6504
NPI assigned
Nov 2, 2006
Last updated
Apr 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Authorized official

Name
Mr. David William Hite, PT CERT MDTNPI 1376622373
Title
President
Phone
(337) 232-5301

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Physical Therapist 225100000X 00497 LA Primary

Addresses

Primary practice location

245 N College Rd
Lafayette, LA 70506-4230

Mailing address

245 N College Rd
Lafayette, LA 70506-4230
Phone (337) 232-5301

Other identifiers 2

IdentifierTypeStateIssuer
650018362OtherRR RETIREMENT MEDICARE
23538OtherBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080310000046 LA Part B Supplier - Clinic/Group Practice 3375628829 Receives reassigned benefits from 2 practitioners
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

245 N College Rd
Lafayette, LA 70506
Phone (337) 232-5301

Practitioners & affiliated clinicians

Practitioners 5

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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1376622365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N COLLEGE RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064230",
            "telephone_number": "337-232-5301",
            "fax_number": "337-237-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N COLLEGE RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064230",
            "telephone_number": "337-232-5301",
            "fax_number": "337-237-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPORTS PHYSICAL THERAPY CLINIC OF LAFAYETTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "HITE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-232-5301",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT CERT MDT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "00497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR RETIREMENT MEDICARE",
            "identifier": "650018362",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "23538",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.