Performance Physical Therapy of Minden, L.L.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT306R Issued in LA

Legal business name

PERFORMANCE PHYSICAL THERAPY OF MINDEN, L.L.C.

Practice address

906 Homer Rd
Minden, LA 71055-3024

Phone

(318) 371-6666

Fax

(318) 371-9966

NPI assigned

Jun 21, 2005

Last updated

Mar 25, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rickey Don Killian, P.T.NPI 1760547939

Title

Owner/Therapist

Phone

(318) 371-6666

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Lucas Guin, DPT

  • Physical Therapist
  • Minden, LA
  • NPI 1720409899
  Medicare reassignment NPD
• Rickey Don Killian, P.T.

  • Physical Therapy Clinic/Center
  • Minden, LA
  • NPI 1760547939
  NPD (past) Authorized official
• Corey P Arcement Sr., PT

  • Physical Therapist
  • Shreveport, LA
  • NPI 1427184423
  NPD (past)
• Janet H McKneely, P.T.

  • Physical Therapist
  • Minden, LA
  • NPI 1447314034
  NPD (past)
• Jeremiah Christopher Sutton, P.T.

  • Physical Therapist
  • Vivian, LA
  • NPI 1154645372
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1649276197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 HOMER RD",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553024",
            "telephone_number": "318-371-6666",
            "fax_number": "318-371-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 HOMER RD",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553024",
            "telephone_number": "318-371-6666",
            "fax_number": "318-371-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PHYSICAL THERAPY OF MINDEN, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "KILLIAN",
        "authorized_official_first_name": "RICKEY",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "318-371-6666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "PT306R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1112810",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yolanda Palmer
• Tiffany Armond Parker, PA
• Passages Hospice North - Central, LLC (Passages Hospice)
• Domonique Patterson, RSW
• Ellen A Patton, MA, PLPC
• Cara Miccoli Permenter, MD
• PFC Medical LLC
• PHC - Minden LP (Minden Medical Center Home Health Agency)
• Phillips Family Medicine Clinic LLC (G. Scott Phillips)
• Phillips Medical Corporation

• Specialist in Minden, LA
• Providers in Minden, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.