Professional Therapy Services Inc
Organization Active NPI Physical Therapist · Harvey, LA
NPI 1528093457 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1528093457
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- PROFESSIONAL THERAPY SERVICES INC
- Practice address
- 2330 Lapalco Blvd
Suite 10
Harvey, LA 70058-6125 - Phone
- (504) 366-3302
- Fax
- (504) 366-3311
- NPI assigned
- Jul 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Maria W Adams, PT
- Title
- President
- Phone
- (504) 366-3302
Practitioners 5
-
Maria W Adams, PT
-
David K Desporte, MPT
-
Ryan P McNeice, MPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120322000555 | LA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 5395905756 |
Receives reassigned benefits from 2 practitioners Practice locations: Harvey, LA |
National Provider Directory
Locations
2330 Lapalco Blvd
Ste 10
Harvey, LA 70058
Phone (504) 366-3302
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
2330 Lapalco Blvd
Suite 10
Harvey, LA 70058-6125
Mailing address
2330 Lapalco Blvd
Suite 10
Harvey, LA 70058-6125
Phone (504) 366-3302
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- Corey Ragas Jr.
- Dashaun Anthony-Mark Raiford
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All providers in Harvey, 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 Aug 22, 2020. 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.