Active NPI
Damion Spillman, PTA
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Natchitoches, LA
National Provider Identifier
1760906333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- A09489
- Practice address
- 733 Keyser Ave Ste 100
Natchitoches, LA 71457-0039 - Phone
- (318) 238-4480
- Fax
- (318) 238-4492
- NPI assigned
- Jul 26, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | A09489 | LA | Primary |
Addresses
Primary practice location
733 Keyser Ave Ste 100
Natchitoches, LA 71457-0039
Mailing address
733 Keyser Ave Ste 100
Natchitoches, LA 71457-0039
Phone (318) 238-4480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A09489 | LA | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lori L. Wheat, PT, Ocs, Inc. | Current | Accepting new patients | |
| Lori L Wheat PT, Ocs | Past | Accepting new patients |
Locations
733 Keyser Ave
Ste 100
Natchitoches, LA 71457
Phone (318) 214-4296
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Natchitoches, LA
- NPI 1780908681
-
- Physical Therapist
- Natchitoches, LA
- NPI 1528427630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1760906333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "733 KEYSER AVE STE 100",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714570039",
"telephone_number": "318-238-4480",
"fax_number": "318-238-4492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 KEYSER AVE STE 100",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714570039",
"telephone_number": "318-238-4480",
"fax_number": "318-238-4492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPILLMAN",
"first_name": "DAMION",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "LA",
"license": "A09489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Natchitoches, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.