Organization Active NPI

Tri-State Physical Therapy #4 Inc

  • Physical Therapy Clinic/Center
  • Bossier City, LA
National Provider Identifier
1750332987
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TRI-STATE PHYSICAL THERAPY #4 INC
Practice address
2250 Hospital Dr
Suite 120
Bossier City, LA 71111-2167
Phone
(318) 747-1760
Fax
(318) 742-8839
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dan B Turner, PT
Title
President/Administrator
Phone
(318) 631-7999

Specialties & licenses 1

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

Addresses

Primary practice location

2250 Hospital Dr
Suite 120
Bossier City, LA 71111-2167

Mailing address

2820 Hearne Ave
Shreveport, LA 71103-3934
Phone (318) 631-7999

National Provider Directory

National Provider Directory

Locations

2250 Hospital Dr
Ste 120
Bossier City, LA 71111
Phone (318) 474-1760

2906 Plantation Dr
Bossier City, LA 71111
Phone (318) 631-7999

2820 Hearne Ave
Shreveport, LA 71103
Phone (318) 631-7999

Practitioners & affiliated clinicians

Practitioners 5

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": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750332987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 HEARNE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033934",
            "telephone_number": "318-631-7999",
            "fax_number": "318-631-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 HOSPITAL DR",
            "address_2": "SUITE 120",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112167",
            "telephone_number": "318-747-1760",
            "fax_number": "318-742-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE PHYSICAL THERAPY #4 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "318-631-7999",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.