Donald Martin Ponzo Jr., PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

09391 Issued in LA

Practice address

653 Myrtle Dr
Covington, LA 70433-8225

Phone

(985) 893-4700

Fax

(985) 893-3211

NPI assigned

Jan 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Dynamic Physical Therapy Services LLC

  • Orthopedic Physical Therapist
  • Covington, LA
  • NPI 1639267974
  NPD
• Dynamic Physical Therapy Services PC

  • Physical Therapist
  • Flushing, NY
  • NPI 1497717375

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1740810100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69461 TAVERNY CT",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473207",
            "telephone_number": "504-952-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 MYRTLE DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338225",
            "telephone_number": "985-893-4700",
            "fax_number": "985-893-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONZO",
        "first_name": "DONALD",
        "middle_name": "MARTIN",
        "name_suffix": "Jr.",
        "credential": "PT,  DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "09391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pontchartrain Psychological Resources, LLC
• Pontchartrain Sleep Medicine, LLC
• Pontchartrain Surgery Center LLC
• Pontchartrain Surgery Center, LLC
• Christen Leeann Pontius, DPT
• Ashlee L Poolson, PHARMD, RPH
• Mary Catherine Porch, A.P.R.N.
• Nicole Lee Porte, NNP
• Jennifer Lee Porter, DPT
• Sheri Porter, NP

• Orthopedic Physical Therapist in Covington, LA
• Providers in Covington, LA by specialty
• Orthopedic Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.