Active NPI
Jeana Anderson, PT
- Physical Therapist
- Covington, LA
National Provider Identifier
1558082248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02712
- Practice address
- 612 Holy Trinity Dr
Covington, LA 70433-6229 - Phone
- (985) 643-5630
- NPI assigned
- Sep 9, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 02712 | LA | Primary |
Addresses
Primary practice location
612 Holy Trinity Dr
Covington, LA 70433-6229
Mailing address
69317 Rowell St
Mandeville, LA 70471-8039
Phone (985) 249-8251
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 |
|---|---|---|---|
| 02712 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1558082248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69317 ROWELL ST",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704718039",
"telephone_number": "985-249-8251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 HOLY TRINITY DR",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704336229",
"telephone_number": "985-643-5630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JEANA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-09",
"last_updated": "2022-09-09",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "02712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.