Organization Active NPI

Advanced Rehabilitation of Metairie

  • Rehabilitation Clinic/Center
  • Metairie, LA
National Provider Identifier
1750442844
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
25283056 Issued in LA
Legal business name
ADVANCED REHABILITATION OF METAIRIE
Practice address
4621 W Napoleon
Suite 101
Metairie, LA 70001
Phone
(504) 889-1193
Fax
(504) 889-1194
NPI assigned
Dec 12, 2006
Last updated
Dec 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Authorized official

Name
Mrs. Robin L Lebeau
Title
General Manager
Phone
(225) 753-9491

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X LA
Rehabilitation Clinic/Center 261QR0400X 25283056 LA Primary

Addresses

Primary practice location

4621 W Napoleon
Suite 101
Metairie, LA 70001

Mailing address

4621 W Napoleon Ave
Suite 101
Metairie, LA 70001-2487
Phone (504) 889-1193

Other identifiers 2

IdentifierTypeStateIssuer
349908400OtherLADEPT OF LABOR
3831740440OtherLABLUE CROSS

National Provider Directory

National Provider Directory

Locations

4621 W Napoleon Ave
Ste 101
Metairie, LA 70001
Phone (504) 302-9700

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1750442844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 W NAPOLEON AVE",
            "address_2": "SUITE 101",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012487",
            "telephone_number": "504-889-1193",
            "fax_number": "504-889-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 W NAPOLEON",
            "address_2": "SUITE 101",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70001",
            "telephone_number": "504-889-1193",
            "fax_number": "504-889-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED REHABILITATION OF METAIRIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "LEBEAU",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "225-753-9491",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "LA",
            "license": "25283056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "349908400",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "3831740440",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.