Thera-Pax Enterprises, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

06735R Issued in LA

Legal business name

THERA-PAX ENTERPRISES, INC.

Doing business as

Paxton Physical Therapy

Practice address

1123 Forsythe Ave
Monroe, LA 71201-4307

Phone

(318) 324-1592

Fax

(318) 324-1593

NPI assigned

Feb 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brian S Paxton, PT, DPTNPI 1720009756

Title

Owner

Phone

(318) 324-1592

Specialties & licenses 1

Addresses

Other names 1

• Paxton Physical Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Scott Paxton, PT,DPT

  • Physical Therapist
  • Monroe, LA
  • NPI 1720009756
  Authorized official Same address or phone

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457486623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 FORSYTHE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014307",
            "telephone_number": "318-324-1592",
            "fax_number": "318-324-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 FORSYTHE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014307",
            "telephone_number": "318-324-1592",
            "fax_number": "318-324-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERA-PAX ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAXTON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-324-1592",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "06735R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paxton Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.