Active NPI
Quad C Physical Therapy LLC
- Physical Therapy Clinic/Center
- Leesville, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- QUAD C PHYSICAL THERAPY LLC
- Practice address
- 9058 Shreveport Hwy
Leesville, LA 71446-1812 - Phone
- (318) 256-0660
- Fax
- (318) 256-0661
- NPI assigned
- Oct 25, 2022
- Last updated
- Oct 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kearstin Cooley, DPT
- Title
- Owner
- Phone
- (318) 256-0660
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
9058 Shreveport Hwy
Leesville, LA 71446-1812
Mailing address
PO Box 127
Many, LA 71449-0127
Phone (318) 256-0660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150102001585 | LA | Part B Supplier - Clinic/Group Practice | 8325361066 |
Receives reassigned benefits from 7 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ville Platte, LA; Many, LA; Leesville, LA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Physical Medicine & Rehabilitation Physician
- Ville Platte, LA
- NPI 1003770181
O20150102001585
National Provider Directory
National Provider Directory- Tax ID family
- Quad C Physical Therapy LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Medicine & Rehabilitation Physician
- Ville Platte, LA
- NPI 1003770181
-
- Physical Therapy Clinic/Center
- Many, LA
- NPI 1831595677
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Physical Medicine & Rehabilitation Physician
- Many, LA
- NPI 1477913374
-
- Physical Therapist
- Ville Platte, LA
- NPI 1598138521
-
- Physical Therapist
- Alexandria, LA
- NPI 1841955804
-
- Physical Therapist
- Shreveport, LA
- NPI 1528612850
-
- Physical Therapist
- Leesville, LA
- NPI 1538033642
-
- Physical Therapist
- Leesville, LA
- NPI 1003591710
-
- Physical Therapist
- Fayetteville, NC
- NPI 1982402673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666656000000",
"number": "1740907310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 127",
"city": "MANY",
"state": "LA",
"postal_code": "714490127",
"telephone_number": "318-256-0660",
"fax_number": "318-256-0661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9058 SHREVEPORT HWY",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714461812",
"telephone_number": "318-256-0660",
"fax_number": "318-256-0661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUAD C PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-25",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A",
"authorized_official_last_name": "COOLEY",
"authorized_official_first_name": "KEARSTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-256-0660",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.