Individual provider Active NPI

Kevin Bart Jones, PT, DPT

  • Physical Therapist
  • Alexandria, LA
National Provider Identifier
1629021886
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00637 Issued in LA
Practice address
3446 Masonic Dr
Alexandria, LA 71301-3615
Phone
(318) 443-3311
Fax
(318) 443-0023
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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 00637 LA Primary

Addresses

Primary practice location

3446 Masonic Dr
Alexandria, LA 71301-3615

Mailing address

3446 Masonic Dr
Alexandria, LA 71301-3615
Phone (318) 443-3311

Other identifiers 2

IdentifierTypeStateIssuer
00637OtherLAPT LICENSE #
P00090914OtherLARAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040220000162 LA Practitioner - Physical Therapist in Private Practice 2567357296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Physical Therapy Group II LLCGroup PAC ID 8426466293, 20 clinicians

Practice addresses (Care Compare)

3446 Masonic Dr
Alexandria, LA 71301-3615
Phone (318) 443-3311

Merit-based Incentive Payment System (MIPS)

Final score
79.9 of 100Reported as individual
Quality
89.9
Improvement activities
40
Cost
46.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00637LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Physical Therapy Group II LLC Physical Therapist CurrentSince Jan 8, 2021 Accepting new patients
Tri-State Physical Therapy Number 1 Inc Physical Therapist PastSince Jan 1, 2001 Accepting new patients
LHCG-VIII, LLC Past Accepting new patients

Locations

3446 Masonic Dr
Alexandria, LA 71301
Phone (318) 443-3311

2906 Plantation Dr
Bossier City, LA 71111
Phone (318) 631-7999

8660 Fern Ave
Ste 160
Shreveport, LA 71105
Phone (318) 631-7999

Organizations & group practices 3

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1629021886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3446 MASONIC DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013615",
            "telephone_number": "318-443-3311",
            "fax_number": "318-443-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3446 MASONIC DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013615",
            "telephone_number": "318-443-3311",
            "fax_number": "318-443-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KEVIN",
        "middle_name": "BART",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "00637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE #",
            "identifier": "00637",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00090914",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.