NPIMap

Organization Active NPI

Star Physical Therapy New Orleans East

  • Physical Therapist
  • New Orleans, LA
National Provider Identifier
1780008573
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05287 Issued in LA
Legal business name
STAR PHYSICAL THERAPY NEW ORLEANS EAST
Practice address
5931 Bullard Ave
Suite 6
New Orleans, LA 70128-2817
Phone
(504) 243-6777
Fax
(504) 243-6736
NPI assigned
Feb 13, 2014
Last updated
Feb 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Authorized official

Name
Ms. Erin Llewellyn
Title
Office Manager
Phone
(985) 893-2845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 05287 LA Primary

Addresses

Primary practice location

5931 Bullard Ave
Suite 6
New Orleans, LA 70128-2817

Mailing address

5931 Bullard Ave
Suite 6
New Orleans, LA 70128
Phone (504) 243-6777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140902001391 LA Part B Supplier - Clinic/Group Practice 5193943231 Receives reassigned benefits from 7 practitioners
Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory
Tax ID family
Star Physical Therapy N O E2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

500 River Highlands Blvd
Ste 200
Covington, LA 70433

5931 Bullard Ave
Ste 6
New Orleans, LA 70128
Phone (504) 243-6777

6100 Hamburg St
Ste D
New Orleans, LA 70122
Phone (504) 302-2500

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1780008573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5931 BULLARD AVE",
            "address_2": "SUITE 6",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70128",
            "telephone_number": "504-243-6777",
            "fax_number": "504-243-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5931 BULLARD AVE",
            "address_2": "SUITE 6",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701282817",
            "telephone_number": "504-243-6777",
            "fax_number": "504-243-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR PHYSICAL THERAPY NEW ORLEANS EAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "LLEWELLYN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "985-893-2845",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "05287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.