Physio Nola

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHYSIO NOLA

Practice address

1772 Prytania St Ste 101
New Orleans, LA 70130-5261

Phone

(206) 953-4646

NPI assigned

Aug 30, 2022

Organization subpart

No

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

Authorized official

Name

Jared Glick, DPT

Title

Owner/Provider

Phone

(206) 953-4646

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1497475404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1772 PRYTANIA ST STE 101",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1772 PRYTANIA ST STE 101",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305261",
            "telephone_number": "206-953-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIO NOLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "206-953-4646",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheranda Devona Phipps
• Tamara Phipps
• Travis Phipps, MD
• Phoenix Behavioral Health Group LLC
• Cindy Phu, MOT LOTR
• Physiofit Physical Therapy, LLC
• Physiofit Physical Therapy, LLC
• Physiofit Physical Therapy, LLC
• Physiofit Physical Therapy, LLC
• Christopher G Piacun

• Physical Therapy Clinic/Center in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Physical Therapy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.