Active NPI
Boost Rehab
- Rehabilitation Practitioner
- Metairie, LA
National Provider Identifier
1760892699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Legal business name
- BOOST REHAB
- Practice address
- 2901 N I 10 Service Rd E
Ste 201
Metairie, LA 70002-6137 - Phone
- (504) 780-1702
- Fax
- (504) 780-1705
- NPI assigned
- Apr 30, 2014
- 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
- Kevin J Bianchini, PHD
- Title
- Member
- Phone
- (504) 780-1702
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
2901 N I 10 Service Rd E
Ste 201
Metairie, LA 70002-6137
Mailing address
2901 N I 10 Service Rd E
Ste 300
Metairie, LA 70002-6137
Phone (504) 780-1702
National Provider Directory
National Provider DirectoryLocations
2901 N I 10 Service Rd E
Ste 201
Metairie, LA 70002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398816000000",
"number": "1760892699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 N I 10 SERVICE RD E",
"address_2": "STE 300",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700026137",
"telephone_number": "504-780-1702",
"fax_number": "504-780-1705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 N I 10 SERVICE RD E",
"address_2": "STE 201",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700026137",
"telephone_number": "504-780-1702",
"fax_number": "504-780-1705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOOST REHAB",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-30",
"last_updated": "2014-04-30",
"status": "A",
"authorized_official_last_name": "BIANCHINI",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "504-780-1702",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.