Parish Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

03388 Issued in LA

Legal business name

PARISH PHYSICAL THERAPY LLC

Practice address

1616 S Columbia St
Ste B
Bogalusa, LA 70427-5881

Phone

(985) 735-3080

Fax

(985) 735-7031

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas A Wall, PTNPI 1578684213

Title

Physical Therapist Owner

Phone

(985) 735-3080

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Thomas A Wall, MSPT

  • Specialist
  • Bogalusa, LA
  • NPI 1578684213
  NPD (past) Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1457427627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 S COLUMBIA ST",
            "address_2": "STE B",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "70427",
            "telephone_number": "985-735-3080",
            "fax_number": "985-735-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 S COLUMBIA ST",
            "address_2": "STE B",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704275881",
            "telephone_number": "985-735-3080",
            "fax_number": "985-735-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARISH PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST OWNER",
        "authorized_official_telephone_number": "985-735-3080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "03388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1471640",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Our Lady of the Angels Hospital, Inc.
• Anthony Jude Palazzo, M.D.
• Vernon K Palmisano, MD
• Sophie Marie Palopoli, MD
• Pamela Barber Reid, Aprn LLC
• Parish Transit LLC
• Gary A. Parker, D. D. S.
• Kimberly W. Parker, GSW
• Shinetra Nicole Partman
• Man Bahadur Paudyal, MD

• Physical Therapy Clinic/Center in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Physical Therapy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.