NPIMap

Organization Active NPI

Ethos Human Performance & Physical Therapy LLC

  • Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1801446802
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ETHOS HUMAN PERFORMANCE & PHYSICAL THERAPY LLC
Practice address
10440 Hooper Rd
Baton Rouge, LA 70818-3203
Phone
(559) 361-0484
NPI assigned
Sep 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Authorized official

Name
Marc V Oceguera, DPT
Title
Owner
Phone
(559) 361-0484

Specialties & licenses 1

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

Addresses

Primary practice location

10440 Hooper Rd
Baton Rouge, LA 70818-3203

Mailing address

10440 Hooper Rd
Baton Rouge, LA 70818-3203
Phone (559) 361-0484

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1801446802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10440 HOOPER RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708183203",
            "telephone_number": "559-361-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10440 HOOPER RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708183203",
            "telephone_number": "559-361-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHOS HUMAN PERFORMANCE & PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "OCEGUERA",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-361-0484",
        "authorized_official_credential": "DPT"
    },
    "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 Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.