Individual provider Active NPI

Michael Robert Incaprera, PT, DPT

  • Physical Therapist
  • New Orleans, LA
National Provider Identifier
1548876139
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10730 Issued in LA
Practice address
4500 Magazine St Ste 3
New Orleans, LA 70115-1543
Phone
(504) 899-1437
Fax
(504) 899-1439
NPI assigned
Sep 18, 2020
Last updated
Nov 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10730 LA Primary

Addresses

Primary practice location

4500 Magazine St Ste 3
New Orleans, LA 70115-1543

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201201000412 LA Practitioner - Physical Therapist in Private Practice 0244641066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paradigm Health SystemGroup PAC ID 7012162464, 36 clinicians

Practice addresses (Care Compare)

995 Robert Blvd
Slidell, LA 70458-2009
Phone (985) 520-0909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10730LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paradigm Health System CurrentSince Nov 10, 2021 Accepting new patients
Paradigm Health System Past Accepting new patients

Locations

64301 Highway 434
Lacombe, LA 70445
Phone (985) 520-0909

995 Robert Blvd
Slidell, LA 70458
Phone (985) 520-0909

Interoperability endpoints

  • Direct secure messaging: michael.incaprera.1@3401.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1548876139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MAGAZINE ST STE 3",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701151543",
            "telephone_number": "504-899-1437",
            "fax_number": "504-899-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCAPRERA",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.