NPIMap

Organization Active NPI

Star Physical Therapy Noe

  • Physical Therapist
  • Covington, LA
National Provider Identifier
1467900654
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
09469 Issued in LA
Legal business name
STAR PHYSICAL THERAPY NOE
Practice address
340 Falconer Dr
Covington, LA 70433-8204
Phone
(985) 893-2845
Fax
(985) 893-2654
NPI assigned
Sep 15, 2016
Last updated
Sep 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Authorized official

Name
Mr. Ravi Bates, PT
Title
Manager
Phone
(504) 243-6777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 09469 LA Primary

Addresses

Primary practice location

340 Falconer Dr
Covington, LA 70433-8204

Mailing address

5931 Bullard Ave Ste 6
New Orleans, LA 70128-2817
Phone (504) 243-6777

National Provider Directory

National Provider Directory
Tax ID family
Star Physical Therapy N O E2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1467900654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5931 BULLARD AVE STE 6",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701282817",
            "telephone_number": "504-243-6777",
            "fax_number": "504-243-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 FALCONER DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338204",
            "telephone_number": "985-893-2845",
            "fax_number": "985-893-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR PHYSICAL THERAPY NOE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "504-243-6777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.