Roderick Stewart Boyd, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

04538R Issued in LA

Practice address

4633 Wichers Dr
Marrero, LA 70072-3064

Phone

(504) 347-0733

Fax

(504) 378-3929

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Star Physical Therapy New Orleans East

  • Physical Therapist
  • New Orleans, LA
  • NPI 1780008573
  Medicare reassignment NPD
• Star Physical Therapy Noe

  • Physical Therapist
  • Covington, LA
  • NPI 1467900654
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811929656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 WICHERS DR",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723064",
            "telephone_number": "504-347-0733",
            "fax_number": "504-378-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 WICHERS DR",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723064",
            "telephone_number": "504-347-0733",
            "fax_number": "504-378-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "RODERICK",
        "middle_name": "STEWART",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "04538R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "04538R",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy Bourgeois
• Eryka Bourgeois
• Lance Bourgeois
• Alan J Bowers, MD
• Jener Bowles, GSW
• Heather M Brandt
• Breathe Easy Allergy
• Asheley Brechtel
• Jekia Brent
• Bridgepoint Healthcare Louisiana LLC

• Physical Therapist in Marrero, LA
• Providers in Marrero, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.