Individual provider Active NPI

Keisha Thomas Digiovanni, P.T.

  • Physical Therapist
  • Metairie, LA
National Provider Identifier
1497181713
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
04057 Issued in LA
Practice address
3939 Houma Blvd Ste 21
Metairie, LA 70006-2921
Phone
(504) 885-6464
Fax
(504) 247-0562
NPI assigned
Sep 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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 04057 LA Primary

Addresses

Primary practice location

3939 Houma Blvd Ste 21
Metairie, LA 70006-2921

Mailing address

3939 Houma Blvd Ste 21
Metairie, LA 70006-2921

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180201000587 LA Practitioner - Physical Therapist in Private Practice 5799045209 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04057LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LMG, LLC CurrentSince Sep 3, 2019 Accepting new patients
Pontchartrain Bone & Joint Clinic, LTD. Physical Therapy CurrentSince Dec 1, 2023 Accepting new patients
LMG LLC Physical Therapist CurrentSince Sep 3, 2019 Accepting new patients
Pontchartrain Bone & Joint Clinic, LTD. CurrentSince Dec 1, 2023 Accepting new patients
Audubon Orthopedics & Sports Medicine a Prof Medical Corporation Physical Therapy Past Accepting new patients

Locations

14041 Highway 90
Boutte, LA 70039
Phone (504) 503-6445

4633 Wichers Dr
Marrero, LA 70072
Phone (504) 347-5421

3939 Houma Blvd
Ste 21
Metairie, LA 70006
Phone (504) 885-6464

2600 Belle Chasse Hwy
Ste 1
Terrytown, LA 70056
Phone (504) 391-7670

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_PBJC

Organizations & group practices 5

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": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1497181713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 HOUMA BLVD STE 21",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 HOUMA BLVD STE 21",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062921",
            "telephone_number": "504-885-6464",
            "fax_number": "504-247-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGIOVANNI",
        "first_name": "KEISHA",
        "middle_name": "THOMAS",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "04057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.