Organization Active NPI

Ready Set Geaux Therapy

  • Early Intervention Provider Agency
  • Elm Grove, LA
National Provider Identifier
1568931269
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
READY SET GEAUX THERAPY
Practice address
522 Oil Field Rd
Elm Grove, LA 71051-7909
Phone
(318) 286-7650
NPI assigned
Nov 26, 2018
Last updated
Nov 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Authorized official

Name
Jennie Moore Bange, MOT, LOTRNPI 1013193879
Title
Owner
Phone
(318) 286-7650

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
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

522 Oil Field Rd
Elm Grove, LA 71051-7909

Mailing address

522 Oil Field Rd
Elm Grove, LA 71051-7909
Phone (318) 286-7650

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1568931269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 OIL FIELD RD",
            "city": "ELM GROVE",
            "state": "LA",
            "postal_code": "710517909",
            "telephone_number": "318-286-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 OIL FIELD RD",
            "city": "ELM GROVE",
            "state": "LA",
            "postal_code": "710517909",
            "telephone_number": "318-286-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "READY SET GEAUX THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "MOORE BANGE",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-286-7650",
        "authorized_official_credential": "MOT, LOTR"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elm Grove, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.