Individual provider Active NPI

Jay P Schultz, PT, TDPT

  • Physical Therapist
  • Bogalusa, LA
National Provider Identifier
1457430878
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
06707 Issued in LA
Practice address
414 Avenue B
Bogalusa, LA 70427-3702
Phone
(985) 732-1651
Fax
(985) 241-5400
NPI assigned
Nov 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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 06707 LA Primary

Addresses

Primary practice location

414 Avenue B
Bogalusa, LA 70427-3702

Mailing address

414 Avenue B
Bogalusa, LA 70427-3702
Phone (985) 732-1651

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050421000977 LA Practitioner - Physical Therapist in Private Practice 1951351261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schultz Physical Therapy of BogalusaGroup PAC ID 1850611583, 5 clinicians

Practice addresses (Care Compare)

414 Ave B
Bogalusa, LA 70427-3702
Phone (985) 732-1651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06707LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Schultz Physical Therapy of Bogalusa Physical Therapist CurrentSince Mar 30, 2015 Accepting new patients
BBV, LLC Physical Therapist Past Accepting new patients

Locations

414 Avenue B
Bogalusa, LA 70427
Phone (985) 732-1651

46105 Highway 10
Franklinton, LA 70438
Phone (985) 322-2086

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1457430878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 AVENUE B",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273702",
            "telephone_number": "985-732-1651",
            "fax_number": "985-241-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 AVENUE B",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273702",
            "telephone_number": "985-732-1651",
            "fax_number": "985-241-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "JAY",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PT, TDPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-05",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "06707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.