Individual provider Active NPI

Rolande Pierre Louis

  • Physical Therapy Assistant
  • Rahway, NJ
National Provider Identifier
1831624915
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
40QB00285600 Issued in NJ
Practice address
255 E Grand Ave Apt 218
Rahway, NJ 07065-4565
Phone
(908) 839-5004
NPI assigned
Apr 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 40QB00285600 NJ Primary

Addresses

Primary practice location

255 E Grand Ave Apt 218
Rahway, NJ 07065-4565

Mailing address

255 E Grand Ave Apt 218
Rahway, NJ 07065-4565
Phone (908) 839-5004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40QB00285600NJMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1831624915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E GRAND AVE APT 218",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070654565",
            "telephone_number": "908-839-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E GRAND AVE APT 218",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070654565",
            "telephone_number": "908-839-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE LOUIS",
        "first_name": "ROLANDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00285600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rahway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.