NPIMap

Organization Active NPI

Roots Physical Therapy and Movement Studio LLC

  • Physical Therapist
  • New Orleans, LA
National Provider Identifier
1487133534
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
Q8241R Issued in LA
Legal business name
ROOTS PHYSICAL THERAPY AND MOVEMENT STUDIO LLC
Practice address
3161 Burgundy St
New Orleans, LA 70117-6704
Phone
(928) 890-9442
NPI assigned
Aug 9, 2018
Last updated
Sep 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Authorized official

Name
Mrs. Melissa Waymire, PHYSICAL THERAPISTNPI 1528258241
Title
Owner
Phone
(928) 890-9442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Q8241R LA Primary

Addresses

Primary practice location

3161 Burgundy St
New Orleans, LA 70117-6704

Mailing address

3161 Burgundy St
New Orleans, LA 70117-6704
Phone (928) 890-9442

National Provider Directory

National Provider Directory

Locations

3161 Burgundy St
New Orleans, LA 70117
Phone (928) 890-9442

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1487133534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 BURGUNDY ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701176704",
            "telephone_number": "928-890-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 BURGUNDY ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701176704",
            "telephone_number": "928-890-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS PHYSICAL THERAPY AND MOVEMENT STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "WAYMIRE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-890-9442",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "Q8241R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.