Organization Active NPI

The Dizzy PT Concierge Physical Therapy

  • Rehabilitation Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1770274615
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
THE DIZZY PT CONCIERGE PHYSICAL THERAPY
Practice address
7718 Don Budge Ave
Baton Rouge, LA 70810-1710
Phone
(255) 431-8289
Fax
(225) 416-6051
NPI assigned
May 19, 2023
Last updated
May 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Dr. Amy Moore, PTNPI 1104232420
Title
Owner
Phone
(225) 993-1220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

7718 Don Budge Ave
Baton Rouge, LA 70810-1710

Mailing address

7718 Don Budge Ave
Baton Rouge, LA 70810-1710
Phone (255) 431-8289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230602002107 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4688031800 Receives reassigned benefits from 1 practitioner
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1770274615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7718 DON BUDGE AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101710",
            "telephone_number": "255-431-8289",
            "fax_number": "225-416-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7718 DON BUDGE AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101710",
            "telephone_number": "255-431-8289",
            "fax_number": "225-416-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DIZZY PT CONCIERGE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-993-1220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.