Physical Therapy Services of Church Point Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT00219

Legal business name

PHYSICAL THERAPY SERVICES OF CHURCH POINT INC

Practice address

119 South Main St
Church Point, LA 70525-0119

Phone

(337) 684-6585

Fax

(337) 684-6585

NPI assigned

Nov 3, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Ramona Wimberly

Title

Corp Sec/Treasurero-Office MGR

Phone

(337) 684-6585

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508857954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "CHURCH POINT",
            "state": "LA",
            "postal_code": "705250299",
            "telephone_number": "337-684-6585",
            "fax_number": "337-684-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 SOUTH MAIN ST",
            "city": "CHURCH POINT",
            "state": "LA",
            "postal_code": "705250119",
            "telephone_number": "337-684-6585",
            "fax_number": "337-684-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SERVICES OF CHURCH POINT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIMBERLY",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_title_or_position": "CORP SEC/TREASURERO-OFFICE MGR",
        "authorized_official_telephone_number": "337-684-6585",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": "PT00219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2099298",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martina Patt
• Pediatric Group of Acadiana LLC
• Pellman'S, LLC
• Sunethra Manel Perera Benoit
• Emily Ann Phillips, LAT, ATC
• Marcelo Granado Polanco, MD
• Rachel T Qaisieh, FNP
• McKenzi Richard
• Krystal Byers Rung, PHARM D.
• Jonea Savoie

• Physical Therapy Clinic/Center in Church Point, LA
• Providers in Church Point, 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 22, 2020; 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.