Precision Physical Therapy & Sports Medicine LLC

Key facts

NPI: 1508526641
Entity type: Organization (NPI type 2)
Primary specialty: Physical Therapist 225100000X
Legal business name: PRECISION PHYSICAL THERAPY & SPORTS MEDICINE LLC
Practice address: 18539 Highway 22 Ste F
Ponchatoula, LA 70454-6710
Phone: (985) 634-8322
NPI assigned: Dec 29, 2021
Organization subpart: No

Authorized official

Name: Louise Robicheaux
Title: Office Manager
Phone: (985) 634-1733

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Christopher Graham Orthopedic Physical Therapist · Ponchatoula, LA · NPI 1962176644

Medicare reassignment Care Compare group NPD LA · PHYSICAL THERAPIST
Scott Hunter Higgs, P.T. Physical Therapist · Ponchatoula, LA · NPI 1922278050

Medicare reassignment Care Compare group NPD LA · PHYSICAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment: Enrolled in LA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20220208001949	LA	Part B Supplier - Physical/Occupational Therapy Group in Private Practice	9537552963	Receives reassigned benefits from 2 practitioners Practice locations: Ponchatoula, LA; Prairieville, LA

National Provider Directory

Locations

18539 Highway 22
Ste F
Ponchatoula, LA 70454
Phone (985) 634-1733

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist Group: 193400000X SINGLE SPECIALTY GROUP	225100000X			Yes

Addresses

Primary practice location

18539 Highway 22 Ste F
Ponchatoula, LA 70454-6710

Mailing address

27616 Byers LN
Ponchatoula, LA 70454-5742
Phone (985) 634-1733

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 29, 2021.

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1508526641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27616 BYERS LN",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704545742",
            "telephone_number": "985-634-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18539 HIGHWAY 22 STE F",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704546710",
            "telephone_number": "985-634-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PHYSICAL THERAPY & SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "ROBICHEAUX",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "985-634-1733"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponchatoula, LA

All providers in Ponchatoula, LA · Physical Therapist in Louisiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.