NPIMap

Organization Active NPI

Ace Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Walker, LA
National Provider Identifier
1730777616
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ACE PHYSICAL THERAPY, LLC
Practice address
27999 Old STH Walker Rd Ste B
Walker, LA 70785-6048
Phone
(225) 271-4083
Fax
(225) 271-4208
NPI assigned
Jan 6, 2021
Last updated
Apr 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Authorized official

Name
Ron McMorris
Title
Partner
Phone
(225) 226-5047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

27999 Old STH Walker Rd Ste B
Walker, LA 70785-6048

Mailing address

27999 Old STH Walker Rd Ste B
Walker, LA 70785-6048
Phone (225) 271-4083

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210428000275 LA Part B Supplier - Clinic/Group Practice 0749698983 Receives reassigned benefits from 1 practitioner
Practice locations: Walker, LA

National Provider Directory

National Provider Directory

Locations

27999 Old Sth Walker Rd
Ste B
Walker, LA 70785
Phone (225) 271-4083

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1730777616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27999 OLD STH WALKER RD STE B",
            "city": "WALKER",
            "state": "LA",
            "postal_code": "707856048",
            "telephone_number": "225-271-4083",
            "fax_number": "225-271-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27999 OLD STH WALKER RD STE B",
            "city": "WALKER",
            "state": "LA",
            "postal_code": "707856048",
            "telephone_number": "225-271-4083",
            "fax_number": "225-271-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "MCMORRIS",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "225-226-5047"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walker, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.