Organization Active NPI

Eclipse Wellness and Performance Center, LLC

  • Physical Therapy Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1558599118
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ECLIPSE WELLNESS AND PERFORMANCE CENTER, LLC
Practice address
1735 Thomas H Delpit Dr
Baton Rouge, LA 70802-6633
Phone
(225) 588-2688
Fax
(225) 261-9227
NPI assigned
Jun 22, 2009
Last updated
Jun 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
Mrs. Cathy Rami, P.T.NPI 1760681431
Title
Physical Therapist
Phone
(225) 588-2688

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 Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

1735 Thomas H Delpit Dr
Baton Rouge, LA 70802-6633

Mailing address

5635 Main St
Suite a Pmb207
Zachary, LA 70791-4083
Phone (225) 588-2688

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100827000353 LA Part B Supplier - Clinic/Group Practice 4688798689 Receives reassigned benefits from 1 practitioner
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Locations

5635 Main St
Ste Apmb
Zachary, LA 70791

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1558599118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 MAIN ST",
            "address_2": "SUITE A PMB207",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914083",
            "telephone_number": "225-588-2688",
            "fax_number": "225-261-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 THOMAS H DELPIT DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708026633",
            "telephone_number": "225-588-2688",
            "fax_number": "225-261-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLIPSE WELLNESS AND PERFORMANCE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "RAMI",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "225-588-2688",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "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 Jun 22, 2009; 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.