Individual provider Active NPI

Anthony Lamothe, P.T.

  • Physical Therapist
  • Shreveport, LA
National Provider Identifier
1801053343
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7297 Issued in LA
Practice address
1501 Kings Hwy
Rehabilitative Services
Shreveport, LA 71103-4228
Phone
(318) 675-5000
Fax
(318) 675-5666
NPI assigned
May 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7297 LA Primary

Addresses

Primary practice location

1501 Kings Hwy
Rehabilitative Services
Shreveport, LA 71103-4228

Mailing address

1501 Kings Hwy
Rehabilitative Services
Shreveport, LA 71103-4228
Phone (318) 675-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170823003474 LA Practitioner - Physical Therapist in Private Practice 7012289135 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anatomix Physical Therapy-Mandeville LLCGroup PAC ID 2365727971, 3 clinicians

Practice addresses (Care Compare)

3916 Hwy 22
Suite 3
Mandeville, LA 70471-7306
Phone (985) 542-6664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7297LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anatomix Physical Therapy-Mandeville LLC Physical Therapist CurrentSince Aug 7, 2017 Accepting new patients
Anatomix Physical Therapy Inc Physical Therapist CurrentSince Aug 7, 2017 Accepting new patients

Locations

1100 C M Fagan Dr
Ste 103
Hammond, LA 70403
Phone (985) 542-6664

3916 Highway 22
Ste 3
Mandeville, LA 70471
Phone (985) 542-6664

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.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1801053343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "REHABILITATIVE SERVICES",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-675-5000",
            "fax_number": "318-675-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "REHABILITATIVE SERVICES",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-675-5000",
            "fax_number": "318-675-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMOTHE",
        "first_name": "ANTHONY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "7297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.