Organization Active NPI

JBJT Services, LLC

  • Physical Therapist
  • Ruston, LA
National Provider Identifier
1699212688
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
08028 Issued in LA
Legal business name
JBJT SERVICES, LLC
Practice address
304 E Reynolds Dr
Ruston, LA 71270-2817
Phone
(318) 224-9148
Fax
(318) 314-2059
NPI assigned
Jan 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Mr. Jereme Brian Johnson, DPTNPI 1336435387
Title
Owner
Phone
(318) 312-1773

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 08028 LA Primary

Addresses

Primary practice location

304 E Reynolds Dr
Ruston, LA 71270-2817

Mailing address

169 Bear Creek Rd
Ruston, LA 71270-1640
Phone (318) 312-1773

Other names 1

  • Johnson Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170628002623 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1557630993 Receives reassigned benefits from 5 practitioners
Practice locations: Monroe, LA; Ruston, LA; West Monroe, LA

National Provider Directory

National Provider Directory

Locations

4276 Sterlington Rd
Monroe, LA 71203
Phone (318) 369-1650

304 E Reynolds Dr
Ruston, LA 71270
Phone (318) 224-9148

1102 Cooktown Rd
Ste A
Ruston, LA 71270
Phone (318) 548-5588

2519 N 7th St
Ste 6AND7
West Monroe, LA 71291

2519 N 7th St
Ste 6
West Monroe, LA 71291

2519 N 7th St
Ste 67
West Monroe, LA 71291
Phone (318) 396-1800

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1699212688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 BEAR CREEK RD",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712701640",
            "telephone_number": "318-312-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E REYNOLDS DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702817",
            "telephone_number": "318-224-9148",
            "fax_number": "318-314-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBJT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEREME",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-312-1773",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Johnson Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.

Verify at the official NPI Registry.