NPIMap

Organization Active NPI

Northlake Physical Therapy and Rehabilitation Services, Inc.

  • Physical Therapist
  • Mandeville, LA
National Provider Identifier
1831168335
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NORTHLAKE PHYSICAL THERAPY AND REHABILITATION SERVICES, INC.
Practice address
100 Bon Temps Roule
Mandeville, LA 70471-2555
Phone
(985) 845-3398
Fax
(985) 845-3001
NPI assigned
Mar 16, 2006
Last updated
Apr 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Authorized official

Name
Mrs. Beth Allbritton, P.T.NPI 1952370462
Title
Owner
Phone
(985) 893-0778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

100 Bon Temps Roule
Mandeville, LA 70471-2555

Mailing address

100 Bon Temps Roule
Mandeville, LA 70471-2555
Phone (985) 845-3398

National Provider Directory

National Provider Directory

Locations

100 Bon Temps Roule
Mandeville, LA 70471
Phone (985) 322-3005

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1831168335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BON TEMPS ROULE",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704712555",
            "telephone_number": "985-845-3398",
            "fax_number": "985-845-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BON TEMPS ROULE",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704712555",
            "telephone_number": "985-845-3398",
            "fax_number": "985-845-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAKE PHYSICAL THERAPY AND REHABILITATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "ALLBRITTON",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-893-0778",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.