Bayou State Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

03183 Issued in LA

Legal business name

BAYOU STATE THERAPY

Practice address

457 Ashley Ridge Blvd Ste B
Shreveport, LA 71106-7229

Phone

(318) 219-7737

Fax

(318) 219-7739

NPI assigned

Dec 18, 2008

Organization subpart

No

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

Authorized official

Name

Kevin T Sowell, PT

Title

PT/Owner

Phone

(318) 219-7737

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1811133093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 ASHLEY RIDGE BLVD STE B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067229",
            "telephone_number": "318-219-7737",
            "fax_number": "318-219-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 ASHLEY RIDGE BLVD STE B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067229",
            "telephone_number": "318-219-7737",
            "fax_number": "318-219-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOU STATE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "SOWELL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "318-219-7737",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "03183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Baye, PA-C
• Ryan Bayless
• Bayou Care Services LLC
• Bayou Imaging & Interventions, LLC
• Bayou Sleep MD LLC
• Be You Outreach Center
• Karen Beabout, PA-C, MPAS
• Benjamin Ames Beach, D.D.S.
• Katie Melancon Beach, DDS
• Hadi Beaini, MD

• Physical Therapy Clinic/Center in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Physical Therapy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.