Childrens Rehab Therapy

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

07162R Issued in LA

Legal business name

CHILDRENS REHAB THERAPY

Practice address

69315 Prevost Rd
Mandeville, LA 70471-7703

Phone

(985) 276-4068

NPI assigned

Aug 7, 2012

Organization subpart

No

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

Authorized official

Name

William Schmidt

Title

Manager

Phone

(985) 276-4068

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1699022897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69315 PREVOST RD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704717703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69315 PREVOST RD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704717703",
            "telephone_number": "985-276-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS REHAB THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "985-276-4068"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "LA",
            "license": "07162R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Physical Therapist in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Pediatric Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.