Active NPI
Stelly Physical &Occupational Therapy
- Physical Therapist
- Sulphur, LA
National Provider Identifier
1689853343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- STELLY PHYSICAL &OCCUPATIONAL THERAPY
- Practice address
- 946 Beglis Parkway
Sulphur, LA 70663 - Phone
- (337) 558-5168
- NPI assigned
- Oct 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Preston Joseph Stelly Jr., DPT/MOT
- Title
- Ceo
- Phone
- (337) 558-5168
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
946 Beglis Parkway
Sulphur, LA 70663
Mailing address
946 Beglis Parkway
Sulphur, LA 70663
Phone (337) 558-5168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
522 Cypress St
Sulphur, LA 70663
Phone (337) 533-8410
946 Beglis Pkwy
Sulphur, LA 70663
Phone (337) 533-8410
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Sulphur, LA
- NPI 1205990439
-
- Physical Medicine & Rehabilitation Physician
- Sulphur, LA
- NPI 1285426346
Single Specialty
-
- Physical Therapist
- Iowa, LA
- NPI 1700375813
-
- Physical Therapist
- Lake Charles, LA
- NPI 1386612554
-
- Physical Therapist
- Moss Bluff, LA
- NPI 1528372919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226880000000",
"number": "1689853343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "946 BEGLIS PARKWAY",
"city": "SULPHUR",
"state": "LA",
"postal_code": "70663",
"telephone_number": "337-558-5168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "946 BEGLIS PARKWAY",
"city": "SULPHUR",
"state": "LA",
"postal_code": "70663",
"telephone_number": "337-558-5168"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STELLY PHYSICAL &OCCUPATIONAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-30",
"last_updated": "2008-11-17",
"status": "A",
"authorized_official_last_name": "STELLY",
"authorized_official_first_name": "PRESTON",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "337-558-5168",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DPT/MOT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sulphur, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.