Organization Active NPI

Summit Physical Therapy, Inc.

  • Physical Therapist
  • Carencro, LA
National Provider Identifier
1407235203
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SUMMIT PHYSICAL THERAPY, INC.
Practice address
726 Veterans Dr
Carencro, LA 70520-3619
Phone
(337) 565-4355
Fax
(337) 565-4357
NPI assigned
May 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Mr. James George Sellers, PT, CMDTNPI 1265502587
Title
Owner
Phone
(337) 565-4355

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X LA Primary

Addresses

Primary practice location

726 Veterans Dr
Carencro, LA 70520-3619

Mailing address

726 Veterans Dr
Carencro, LA 70520-3619
Phone (337) 565-4355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150713000849 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4688986169 Receives reassigned benefits from 7 practitioners
Practice locations: Carencro, LA

National Provider Directory

National Provider Directory

Locations

726 Veterans Dr
Carencro, LA 70520
Phone (337) 565-4355

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1407235203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 VETERANS DR",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705203619",
            "telephone_number": "337-565-4355",
            "fax_number": "337-565-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 VETERANS DR",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705203619",
            "telephone_number": "337-565-4355",
            "fax_number": "337-565-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-565-4355",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, CMDT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carencro, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.