Organization Active NPI

Tandem Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Metairie, LA
National Provider Identifier
1609371889
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TANDEM PHYSICAL THERAPY, LLC
Practice address
3848 Veterans Memorial Blvd Ste 203
Metairie, LA 70002-5621
Phone
(504) 407-3477
NPI assigned
Mar 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Lauren Manna, PTNPI 1134476393
Title
Physical Therapist
Phone
(615) 275-7755

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 Primary

Addresses

Primary practice location

3848 Veterans Memorial Blvd Ste 203
Metairie, LA 70002-5621

Mailing address

3848 Veterans Memorial Blvd Ste 203
Metairie, LA 70002-5621

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180522000379 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7810252897 Receives reassigned benefits from 6 practitioners
Practice locations: Metairie, LA

National Provider Directory

National Provider Directory

Locations

3848 Veterans Memorial Blvd
Ste 203
Metairie, LA 70002
Phone (504) 407-3477

4931 W Esplanade Ave
Ste B
Metairie, LA 70006
Phone (504) 407-3477

Practitioners & affiliated clinicians

Practitioners 8

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": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1609371889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 VETERANS MEMORIAL BLVD STE 203",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3848 VETERANS MEMORIAL BLVD STE 203",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025621",
            "telephone_number": "504-407-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANDEM PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "MANNA",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "615-275-7755",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.