Physical Therapy South Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

01644 Issued in LA

Legal business name

PHYSICAL THERAPY SOUTH INC

Practice address

810 S Saint Blaise LN
Ste a
Youngsville, LA 70592-5581

Phone

(337) 451-6385

Fax

(337) 451-6708

NPI assigned

Aug 29, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Stephen P Kramer, PTNPI 1598835803

Title

Owner

Phone

(337) 451-6385

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Stephen P Kramer, P.T., ATC

  • Physical Therapist
  • Lafayette, LA
  • NPI 1598835803
  NPD (past) Authorized official

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1689074437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 S SAINT BLAISE LN",
            "address_2": "STE A",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925581",
            "telephone_number": "337-451-6385",
            "fax_number": "337-451-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S SAINT BLAISE LN",
            "address_2": "STE A",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925581",
            "telephone_number": "337-451-6385",
            "fax_number": "337-451-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SOUTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-451-6385",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "01644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "5C928",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayln Peters
• Cynthia Ngoc-Huyen Pham
• Pharmacy Business Consulting
• Lauren Mouret Pharr, OTR/L
• Mikey Philayvanh
• Physiofit Physical Therapy, LLC
• Lashana Pierre, RN
• Ureenie Jacinta Pierre
• Steven Poe
• Devon Pogwizd, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.