Orthopedic & Sports Therapy of Kenner, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ORTHOPEDIC & SPORTS THERAPY OF KENNER, INC.

Practice address

3921 Williams Blvd
Kenner, LA 70065

Phone

(504) 443-5152

Fax

(504) 443-5151

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Craig M Goodwin, PTNPI 1558431932

Title

President

Phone

(504) 443-5152

Specialties & licenses 1

Addresses

Other names 1

• Kenner Orthopedic & Sports Therapy Former legal business name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 7

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

• Craig M Goodwin, PT

  • Physical Therapist
  • Kenner, LA
  • NPI 1558431932
  Medicare reassignment Care Compare group NPD Authorized official
• Edward F Lopez, PT

  • Physical Therapist
  • Kenner, LA
  • NPI 1306917968
  Medicare reassignment Care Compare group NPD
• Henry R Nuss Jr., PT

  • Physical Therapist
  • Harvey, LA
  • NPI 1134208671
  Medicare reassignment Care Compare group NPD
• Rachael Alexandra Brousse, PT, DPT

  • Physical Therapist
  • Harahan, LA
  • NPI 1578041026
  Medicare reassignment NPD
• Chris Dysart, DPT

  • Physical Therapist
  • Harahan, LA
  • NPI 1255711495
  Medicare reassignment NPD
• Jonathan Isaac Reyes, DPT

  • Physical Therapist
  • Metairie, LA
  • NPI 1801534656
  Medicare reassignment NPD
• Christopher Cronin, PT

  • Physical Therapist
  • Luling, LA
  • NPI 1326011172
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1629148002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "70065",
            "telephone_number": "504-443-5152",
            "fax_number": "504-443-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "70065",
            "telephone_number": "504-443-5152",
            "fax_number": "504-443-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPORTS THERAPY OF KENNER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-443-5152",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenner Orthopedic & Sports Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ochsner Medical Center - Kenner, L.L.C.
• Ochsner Medical Center-Kenner Dialysis
• Ochsner Pharmacy and Wellness LLC
• Irma Victoria Oliva, M.D.
• Maricelle Oracion Ong, M.D.
• Jamie Raziano Ortiz, RN, IBCLC
• Krishanda Owens
• Isiah D Paige
• Andrea Palmer
• Alicia Z Palmisano, M.ED, ATC

• Physical Therapist in Kenner, LA
• Providers in Kenner, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.