Rondell N Bob, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11258 Issued in LA

Practice address

1150 Robert Blvd Ste 232
Slidell, LA 70458-2005

Phone

(985) 641-2996

Fax

(985) 259-4349

NPI assigned

Apr 15, 2022

Last updated

Jun 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA, DC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Louisiana State University School of Medicine in New Orleans, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physiofit Louisiana LLC

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  • NPI 1376180620
  Medicare reassignment NPD
• Cam Physical Therapy and Wellness Services LLC

  • Physical Therapist
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  • NPI 1881775161

  DC

  Medicare reassignment
• Cross Gates Physical Therapy

  • Physical Therapist
  • Slidell, LA
  • NPI 1972924041
  NPD (past)

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1407599608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 ROBERT BLVD STE 232",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582005",
            "telephone_number": "985-641-2996",
            "fax_number": "985-259-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOB",
        "first_name": "RONDELL",
        "middle_name": "N",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rebecca Lynn Blum, DDS
• BNB Transportation LLC
• Angela Himes Bohne, R.D., LDN, LWMC
• Chuan D Bolden, PHARMD
• Crispin G. Bolisay, MD
• Sabyne H Bonnecarrere, LPC
• Uaketha Bonner

• Physical Therapist in Slidell, LA
• Providers in Slidell, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.