Rehabilitation Concepts Plus, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT01438 Issued in LA

Legal business name

REHABILITATION CONCEPTS PLUS, INC.

Practice address

350 Jordan St
Shreveport, LA 71101-4847

Phone

(318) 220-7334

Fax

(318) 220-7017

NPI assigned

Jan 17, 2007

Last updated

Aug 22, 2020By 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. Charles Edward Jackson, PHYSICAL THERAPIST

Title

President

Phone

(318) 220-7334

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669524161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 JORDAN ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014847",
            "telephone_number": "318-220-7334",
            "fax_number": "318-220-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 JORDAN ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014847",
            "telephone_number": "318-220-7334",
            "fax_number": "318-220-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION CONCEPTS PLUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-220-7334",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "PT01438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1559245",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.