NPIMap

Organization Active NPI

Gentilly Physical Therapy and Rehab

  • Physical Therapist
  • New Orleans, LA
National Provider Identifier
1578694063
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00559 Issued in LA
Legal business name
GENTILLY PHYSICAL THERAPY AND REHAB
Practice address
4298 Elysian Fields Ave
Suite C.
New Orleans, LA 70122-3848
Phone
(504) 282-4406
Fax
(504) 282-4407
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Mr. Stephen Sylvester, PTNPI 1053409938
Title
Director
Phone
(504) 282-4406

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 00559 LA Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 06827R LA

Addresses

Primary practice location

4298 Elysian Fields Ave
Suite C.
New Orleans, LA 70122-3848

Mailing address

4298 Elysian Fields Ave
Suite C.
New Orleans, LA 70122-3848
Phone (504) 282-4406

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080218000111 LA Part B Supplier - Clinic/Group Practice 1456434224 Receives reassigned benefits from 1 practitioner
Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory

Locations

4298 Elysian Fields Ave
Ste C
New Orleans, LA 70122
Phone (504) 282-4406

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1578694063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4298 ELYSIAN FIELDS AVE",
            "address_2": "SUITE C.",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701223848",
            "telephone_number": "504-282-4406",
            "fax_number": "504-282-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4298 ELYSIAN FIELDS AVE",
            "address_2": "SUITE C.",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701223848",
            "telephone_number": "504-282-4406",
            "fax_number": "504-282-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTILLY PHYSICAL THERAPY AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "SYLVESTER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "504-282-4406",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "00559",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "06827R",
            "primary": false
        }
    ],
    "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 Oct 9, 2008; 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.