Organization Active NPI

Sellers Physical Therapy, LLC

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1770844003
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SELLERS PHYSICAL THERAPY, LLC
Practice address
1042 Camellia Blvd
Suite # 16
Lafayette, LA 70508-6680
Phone
(337) 739-9748
NPI assigned
Jun 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Authorized official

Name
Kevin Sellers, PT
Title
Owner
Phone
(337) 739-9748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1042 Camellia Blvd
Suite # 16
Lafayette, LA 70508-6680

Mailing address

106 Village Tree Dr
Youngsville, LA 70592-5754
Phone (337) 739-9748

National Provider Directory

National Provider Directory

Locations

1042 Camellia Blvd
Ste 16
Lafayette, LA 70508
Phone (337) 739-9748

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1770844003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 VILLAGE TREE DR",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925754",
            "telephone_number": "337-739-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 CAMELLIA BLVD",
            "address_2": "SUITE # 16",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086680",
            "telephone_number": "337-739-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELLERS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-739-9748",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.