Individual provider Active NPI

Janet H McKneely, P.T.

  • Physical Therapist
  • Minden, LA
National Provider Identifier
1447314034
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-861 Issued in LA
Practice address
906 Homer Rd
Minden, LA 71055-3024
Phone
(318) 377-4028
Fax
(318) 377-9895
NPI assigned
Dec 20, 2006
Last updated
Jan 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-861 LA Primary

Addresses

Primary practice location

906 Homer Rd
Minden, LA 71055-3024

Mailing address

906 Homer Rd
Minden, LA 71055-3024
Phone (318) 377-4028

Other identifiers 1

IdentifierTypeStateIssuer
C3005OtherLABLUE CROSS BLUE SHIELD LA

Other names 1

  • Janet S Hoppe Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
861LAMDClinical Social Worker
PT-861LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Physical Therapy of Minden, L.L.C. Physical Therapist PastSince Jun 20, 2016 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1447314034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 HOMER RD",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553024",
            "telephone_number": "318-377-4028",
            "fax_number": "318-377-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 HOMER RD",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553024",
            "telephone_number": "318-377-4028",
            "fax_number": "318-377-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKNEELY",
        "first_name": "JANET",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "PT-861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD LA",
            "identifier": "C3005",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "HOPPE",
            "middle_name": "S",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Minden, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.