Physiofit LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5233772 Issued in LA

Legal business name

PHYSIOFIT LLC

Practice address

18641 Hwy 3235
Galliano, LA 70354

Phone

(985) 475-4555

Fax

(985) 475-4557

NPI assigned

Mar 13, 2007

Last updated

Dec 28, 2010By 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

Rutgerus FJ Jongbloets, PTNPI 1013919430

Title

Owner

Phone

(985) 532-9662

Specialties & licenses 1

Addresses

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Physiofit Physical Therapy, LLC

  • Physical Therapist
  • New Orleans, LA
  • NPI 1477050656

  Member Of

  NPD member
• Physiofit Physical Therapy, LLC

  • Physical Therapist
  • Raceland, LA
  • NPI 1699111674

  Member Of

  NPD member

Locations

Practitioners 2

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.

• Rutgerus Franciscus Jongbloets, PT

  • Physical Therapist
  • Galliano, LA
  • NPI 1013919430
  Authorized official Same address or phone
• Jacob Lance Marino, PT, DPT

  • Physical Therapist
  • Golden, CO
  • NPI 1316722044
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1689707564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 JOHNNY DUFRENE DR",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942611",
            "telephone_number": "985-532-9662",
            "fax_number": "985-532-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18641 HWY 3235",
            "city": "GALLIANO",
            "state": "LA",
            "postal_code": "70354",
            "telephone_number": "985-475-4555",
            "fax_number": "985-475-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOFIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "JONGBLOETS",
        "authorized_official_first_name": "RUTGERUS",
        "authorized_official_middle_name": "FJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-532-9662",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "5233772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vernon J Foret, PAC
• Rutgerus Franciscus Jongbloets, PT
• Eric James Keplinger, PTA
• Luke Lejeune
• Allen Mire IV
• Physiofit Physical Therapy, LLC
• Anna Stuivenberg, PT
• Teche Action Board, Inc. (Teche Action Clinic @ Galliano)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0502)
• Wal-Mart Stores Louisiana, LLC (Vision Center 30-0502)

• Physical Therapy Clinic/Center in Galliano, LA
• Providers in Galliano, LA by specialty
• Physical Therapy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.