Organization Active NPI

Orthopedic & Sports Therapy of Metairie

  • Physical Therapist
  • Metairie, LA
National Provider Identifier
1508937293
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ORTHOPEDIC & SPORTS THERAPY OF METAIRIE
Practice address
701 Metairie Rd
Ste 1a 202
Metairie, LA 70005
Phone
(504) 831-3227
Fax
(504) 831-3284
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Mr. David J Ware, PTNPI 1033285754
Title
Director
Phone
(504) 831-3227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

701 Metairie Rd
Ste 1a 202
Metairie, LA 70005

Mailing address

701 Metairie Rd
Ste 1a 202
Metairie, LA 70005
Phone (504) 831-3227

Other names 1

  • Metairie Orthopedic & Sports Therapy Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110214000689 LA Part B Supplier - Clinic/Group Practice 4486834017 Receives reassigned benefits from 1 practitioner
Practice locations: Metairie, LA

National Provider Directory

National Provider Directory

Locations

701 Metairie Rd
Ste 1A202
Metairie, LA 70005
Phone (504) 831-3227

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1508937293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 METAIRIE RD",
            "address_2": "STE 1A 202",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70005",
            "telephone_number": "504-831-3227",
            "fax_number": "504-831-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 METAIRIE RD",
            "address_2": "STE 1A 202",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70005",
            "telephone_number": "504-831-3227",
            "fax_number": "504-831-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPORTS THERAPY OF METAIRIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "504-831-3227",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metairie Orthopedic & Sports Therapy Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 1, 2014; 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.