Active NPI
Creative Health Care Management LLC
- Physical Therapist
- Slidell, LA
National Provider Identifier
1750970356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- CREATIVE HEALTH CARE MANAGEMENT LLC
- Doing business as
- Vertis Therapy
- Practice address
- 2200 Gause Blvd E
Slidell, LA 70461-4223 - Phone
- (985) 781-4545
- Fax
- (317) 708-6496
- NPI assigned
- Jan 18, 2021
- 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
- Misty D Beaudry-Zobel
- Title
- Reimbursement
- Phone
- (317) 204-3736
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
2200 Gause Blvd E
Slidell, LA 70461-4223
Mailing address
10 S 9TH St Ste 4
Noblesville, IN 46060-2631
Phone (317) 204-3736
Other practice location 1
17010 Old Covington Hwy
Hammond, LA 70403-5232
Phone (985) 345-8787
Other names 1
- Vertis Therapy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610928000000",
"number": "1750970356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 S 9TH ST STE 4",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460602631",
"telephone_number": "317-204-3736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 GAUSE BLVD E",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704614223",
"telephone_number": "985-781-4545",
"fax_number": "317-708-6496"
}
],
"practiceLocations": [
{
"address_1": "17010 Old Covington Hwy",
"address_purpose": "LOCATION",
"city": "Hammond",
"state": "LA",
"postal_code": "704035232",
"country_code": "US",
"telephone_number": "985-345-8787",
"fax_number": "317-708-6496",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CREATIVE HEALTH CARE MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-18",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A",
"authorized_official_last_name": "BEAUDRY-ZOBEL",
"authorized_official_first_name": "MISTY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "REIMBURSEMENT",
"authorized_official_telephone_number": "317-204-3736"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vertis Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.