Active NPI
Joseph P Nicolosi, P.T.
- Physical Therapist
- Baton Rouge, LA
National Provider Identifier
1548317076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00076
- Practice address
- 7712 Goodwood Blvd Ste a
Baton Rouge, LA 70806-7624 - Phone
- (225) 922-7410
- Fax
- (225) 922-9097
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 00076 | LA | Primary |
Addresses
Primary practice location
7712 Goodwood Blvd Ste a
Baton Rouge, LA 70806-7624
Mailing address
6539 Peggy St
Baton Rouge, LA 70808-4248
Phone (225) 279-0308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00076 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ijr Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548317076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6539 PEGGY ST",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084248",
"telephone_number": "225-279-0308",
"fax_number": "225-922-7410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7712 GOODWOOD BLVD STE A",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708067624",
"telephone_number": "225-922-7410",
"fax_number": "225-922-9097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLOSI",
"first_name": "JOSEPH",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "00076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.