Individual provider Active NPI

Patrick Scott Pitarro, MPT

  • Physical Therapist
  • Denham Springs, LA
National Provider Identifier
1740578442
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
06344 Issued in LA
Practice address
31985 La Highway 16
Suite C
Denham Springs, LA 70726-1462
Phone
(225) 791-7114
Fax
(225) 791-7118
NPI assigned
Jul 14, 2011
Last updated
Jul 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 06344 LA Primary

Addresses

Primary practice location

31985 La Highway 16
Suite C
Denham Springs, LA 70726-1462

Mailing address

31985 La Highway 16
Suite C
Denham Springs, LA 70726-1462
Phone (225) 791-7114

Other identifiers 1

IdentifierTypeStateIssuer
06344OtherLALOUISIANA STATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110824000500 LA Practitioner - Physical Therapist in Private Practice 8224208558 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lewy Physical Therapy Inc Physical Therapist CurrentSince Jul 1, 2011 Accepting new patients

Locations

8448 Siegen Ln
Baton Rouge, LA 70810
Phone (225) 757-0164

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1740578442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31985 LA HIGHWAY 16",
            "address_2": "SUITE C",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707261462",
            "telephone_number": "225-791-7114",
            "fax_number": "225-791-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31985 LA HIGHWAY 16",
            "address_2": "SUITE C",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707261462",
            "telephone_number": "225-791-7114",
            "fax_number": "225-791-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITARRO",
        "first_name": "PATRICK",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "06344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA STATE LICENSE",
            "identifier": "06344",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.