Individual provider Active NPI

Larry A Jonas, PT

  • Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1609164409
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00320 Issued in LA
Practice address
1630 Carl Ave
Baton Rouge, LA 70808-2970
Phone
(225) 379-3204
NPI assigned
Jul 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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 00320 LA Primary

Addresses

Primary practice location

1630 Carl Ave
Baton Rouge, LA 70808-2970

Mailing address

1630 Carl Ave
Baton Rouge, LA 70808-2970
Phone (225) 379-3204

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
00320LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Baton Rouge Physical Therapy, LLC Physical Therapist PastSince Dec 2, 2013 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1609164409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 CARL AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708082970",
            "telephone_number": "225-379-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 CARL AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708082970",
            "telephone_number": "225-379-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONAS",
        "first_name": "LARRY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "00320",
            "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 Aug 19, 2011; 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.